Piperidine derivatives and methods of use

ABSTRACT

Compounds are provided that act as potent antagonists of the CCR1 receptor, and have in vivo anti-inflammatory activity. The compounds are generally monocyclic and bicyclic compounds and are useful in pharmaceutical compositions, methods for the treatment of CCR1-mediated diseases, and as controls in assays for the identification of competitive CCR1 antagonists.

CROSS-REFERENCES TO RELATED APPLICATIONS

This application claims the benefit of Provisional Application Ser. No.60/725,980, filed Oct. 11, 2005, the disclosure of which is incorporatedherein by reference.

STATEMENT AS TO RIGHTS TO INVENTIONS MADE UNDER FEDERALLY SPONSOREDRESEARCH AND DEVELOPMENT

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REFERENCE TO A “SEQUENCE LISTING,” A TABLE, OR A COMPUTER PROGRAMLISTING APPENDIX SUBMITTED ON A COMPACT DISK

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BACKGROUND OF THE INVENTION

The present invention provides compounds, pharmaceutical compositionscontaining one or more of those compounds or their pharmaceuticallyacceptable salts, which are effective in inhibiting the binding ofvarious chemokines, such as MIP-1α, leukotactin, MPIF-1 and RANTES, tothe CCR1 receptor. As antagonists or modulators for the CCR1 receptor,the compounds and compositions have utility in treating inflammatory andimmune disorder conditions and diseases.

Human health depends on the body's ability to detect and destroy foreignpathogens that might otherwise take valuable resources from theindividual and/or induce illness. The immune system, which comprisesleukocytes (white blood cells (WBCs): T and B lymphocytes, monocytes,macrophages granulocytes, NK cell, mast cells, dendritic cell, andimmune derived cells (for example, osteoclasts)), lymphoid tissues andlymphoid vessels, is the body's defense system. To combat infection,white blood cells circulate throughout the body to detect pathogens.Once a pathogen is detected, innate immune cells and cytotoxic T cellsin particular are recruited to the infection site to destroy thepathogen. Chemokines act as molecular beacons for the recruitment andactivation of immune cells, such as lymphocytes, monocytes andgranulocytes, identifying sites where pathogens exist.

Despite the immune system's regulation of pathogens, certaininappropriate chemokine signaling can develop and has been attributed totriggering or sustaining inflammatory disorders, such as rheumatoidarthritis, multiple sclerosis and others. For example, in rheumatoidarthritis, unregulated chemokine accumulation in bone joints attractsand activates infiltrating macrophages and T-cells. The activities ofthese cells induce synovial cell proliferation that leads, at least inpart, to inflammation and eventual bone and cartilage loss (see,DeVries, M. E., et al., Semin Immunol 11(2):95-104 (1999)). A hallmarkof some demyelinating diseases such as multiple sclerosis is thechemokine-mediated monocyte/macrophage and T cell recruitment to thecentral nervous system (see, Kennedy, et al., J. Clin. Immunol.19(5):273-279 (1999)). Chemokine recruitment of destructive WBCs totransplants has been implicated in their subsequent rejection. See,DeVries, M. E., et al., ibid. Because chemokines play pivotal roles ininflammation and lymphocyte development, the ability to specificallymanipulate their activity has enormous impact on ameliorating andhalting diseases that currently have no satisfactory treatment. Inaddition, transplant rejection may be minimized without the generalizedand complicating effects of costly immunosuppressive pharmaceuticals.

Chemokines, a group of greater than 40 small peptides (7-10 kD), ligatereceptors expressed primarily on WBCs or immune derived cells, andsignal through G-protein-coupled signaling cascades to mediate theirchemoattractant and chemostimulant functions. Receptors may bind morethan one ligand; for example, the receptor CCR1 ligates RANTES(regulated on activation normal T cell expressed), MIP-1α (macrophageinflammatory protein), MPIF-1/CKβ8, and Leukotactin chemokines (amongothers with lesser affinities). To date, 24 chemokine receptors areknown. The sheer number of chemokines, multiple ligand bindingreceptors, and different receptor profiles on immune cells allow fortightly controlled and specific immune responses. See, Rossi, et al.,Ann. Rev. Immunol. 18(1):217-242 (2000). Chemokine activity can becontrolled through the modulation of their corresponding receptors,treating related inflammatory and immunological diseases and enablingorgan and tissue transplants.

The receptor CCR1 and its chemokine ligands, including, for exampleMIP-1α, MPIF-1/CKβ8, leukotactin and RANTES, represent significanttherapeutic targets (see Saeki, et al., Current Pharmaceutical Design9:1201-1208 (2003)) since they have been implicated in rheumatoidarthritis, transplant rejection (see, DeVries, M. E., et al., ibid.),and multiple sclerosis (see, Fischer, et al., J Neuroimmunol.110(1-2):195-208 (2000); Izikson, et al., J. Exp. Med. 192(7):1075-1080(2000); and Rottman, et al., Eur. J. Immunol. 30(8):2372-2377 (2000). Infact, function-blocking antibodies, modified chemokine receptor ligandsand small organic compounds have been discovered, some of which havebeen successfully demonstrated to prevent or treat somechemokine-mediated diseases (reviewed in Rossi, et al., ibid.). Notably,in an experimental model of rheumatoid arthritis, disease development isdiminished when a signaling-blocking, modified-RANTES ligand isadministered (see Plater-Zyberk, et al., Immunol Lett. 57(1-3):117-120(1997)). While function-blocking antibody and small peptide therapiesare promising, they suffer from the perils of degradation, extremelyshort half-lives once administered, and prohibitive expense to developand manufacture, characteristic of most proteins. Small organiccompounds are preferable since they often have longer half lives invivo, require fewer doses to be effective, can often be administeredorally, and are consequently less expensive. Some organic antagonists ofCCR1 have been previously described (see, Hesselgesser, et al., J. Biol.Chem. 273(25):15687-15692 (1998); Ng, et al., J. Med. Chem.42(22):4680-4694 (1999); Liang, et al., J. Biol. Chem.275(25):19000-19008 (2000); and Liang, et al., Eur. J. Pharmacol.389(1):41-49 (2000)). In view of the effectiveness demonstrated fortreatment of disease in animal models (see, Liang, et al., J. Biol.Chem. 275(25):19000-19008 (2000)), the search has continued to identifyadditional compounds that can be used in the treatment of diseasesmediated by CCR1 signaling.

BRIEF SUMMARY OF THE INVENTION

The present invention relates to compounds having formula I

or pharmaceutically acceptable salts and N-oxides thereof; wherein thegroups R¹, R^(2a), R^(2b), R^(2c), R^(2d), R^(2e), A, B, L¹ and X havethe meanings provided in detail below.

In addition to the compounds provided herein, the present inventionfurther provides pharmaceutical compositions containing one or more ofthese compounds, as well as methods for the use of these compounds intherapeutic methods, primarily to treat diseases associated with CCR1,CCR2 and/or CCR3 signalling activity.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows the subformulae of certain preferred B substituents of theinvention.

FIG. 2 shows the subformulae of certain preferred B substituents of theinvention.

FIG. 3 shows the subformulae of certain preferred B substituents of theinvention.

FIG. 4 shows the subformulae of certain preferred B substituents of theinvention.

FIG. 5 shows the subformulae of certain preferred A substituents of thepresent invention.

FIG. 6 shows certain piperidine derivatives of the invention.

FIG. 7 shows the subformulae of certain preferred -L¹-B groups of theinvention.

DETAILED DESCRIPTION OF THE INVENTION

I. Abbreviation and Definitions

The term “alkyl”, by itself or as part of another substituent, means,unless otherwise stated, a straight or branched chain hydrocarbonradical, having the number of carbon atoms designated (i.e. C₁₋₈ meansone to eight carbons). Examples of alkyl groups include methyl, ethyl,n-propyl, isopropyl, n-butyl, t-butyl, isobutyl, sec-butyl, n-pentyl,n-hexyl, n-heptyl, n-octyl, and the like. The term “alkenyl” refers toan unsaturated alkyl group having one or more double bonds. Similarly,the term “alkynyl” refers to an unsaturated alkyl group having one ormore triple bonds. Examples of such unsaturated alkyl groups includevinyl, 2-propenyl, crotyl, 2-isopentenyl, 2-(butadienyl),2,4-pentadienyl, 3-(1,4-pentadienyl), ethynyl, 1- and 3-propynyl,3-butynyl, and the higher homologs and isomers. The term “cycloalkyl”refers to hydrocarbon rings having the indicated number of ring atoms(e.g., C₃₋₆cycloalkyl) and being fully saturated or having no more thanone double bond between ring vertices. “Cycloalkyl” is also meant torefer to bicyclic and polycyclic hydrocarbon rings such as, for example,bicyclo[2.2.1]heptane, bicyclo[2.2.2]octane, etc. The term“heterocycloalkyl” refers to a cycloalkyl group that contain from one tofive heteroatoms selected from N, O, and S, wherein the nitrogen andsulfur atoms are optionally oxidized, and the nitrogen atom(s) areoptionally quatemized. The heterocycloalkyl may be a monocyclic, abicyclic or a polycylic ring system. Non-limiting examples ofheterocycloalkyl groups include pyrrolidine, piperidiny, imidazolidine,pyrazolidine, butyrolactam, valerolactam, imidazolidinone, hydantoin,dioxolane, phthalimide, piperidine, 1,4-dioxane, morpholine,thiomorpholine, thiomorpholine-S-oxide, thiomorpholine-S,S-oxide,piperazine, pyran, pyridone, 3-pyrroline, thiopyran, pyrone,tetrahydrofuran, tetrhydrothiophene, quinuclidine, and the like. Aheterocycloalkyl group can be attached to the remainder of the moleculethrough a ring carbon or a heteroatom.

The term “alkylene” by itself or as part of another substituent means adivalent radical derived from an alkane, as exemplified by—CH₂CH₂CH₂CH₂—. Typically, an alkyl (or alkylene) group will have from 1to 24 carbon atoms, with those groups having 10 or fewer carbon atomsbeing preferred in the present invention. A “lower alkyl” or “loweralkylene” is a shorter chain alkyl or alkylene group, generally havingfour or fewer carbon atoms. Similarly, “alkenylene” and “alkynylene”refer to the unsaturated forms of “alkylene” having double or triplebonds, respectively.

The term “heteroalkyl,” by itself or in combination with another term,means, unless otherwise stated, a stable straight or branched chain,unsaturated or cyclic hydrocarbon radical, or combinations thereof,consisting of the stated number of carbon atoms and from one to threeheteroatoms selected from the group consisting of O, N, Si and S, andwherein the nitrogen and sulfur atoms may optionally be oxidized and thenitrogen heteroatom may optionally be quatemized. The heteroatom(s) O,N, Si and S may be placed at any interior position of the heteroalkylgroup. Also, the heteroatom(s) O, N, Si and Si may be placed at anyposition of the heteroalkyl group, including the position at which thealkyl group is attached to the remainder of the molecule. Examplesinclude —CH₂—CH₂—O—CH₃, —CH₂—CH₂—NH—CH₃, —CH₂—CH₂—N(CH₃)—CH₃,—CH₂—S—CH₂—CH₃, —CH₂—CH₂, —S(O)—CH₃, —CH₂—CH₂—S(O)₂—CH₃, —CH═CH—O—CH₃,—Si(CH₃)₃, —CH₂—CH═N—OCH₃, and —CH═CH—N(CH₃)—CH₃. Up to two heteroatomsmay be consecutive, such as, for example, —CH₂—NH—OCH₃ and—CH₂—O—Si(CH₃)₃.

The term “heteroalkylene” by itself or as part of another substituentmeans a divalent radical derived from heteroalkyl, as exemplified by—CH₂—CH₂—S—CH₂CH₂— and —CH₂—S—CH₂—CH₂—NH—CH₂—, —O—CH₂—CH═CH—,—CH₂—CH═C(H)CH₂—O—CH₂— and —S—CH₂—C≡C—. For heteroalkylene groups,heteroatoms can also occupy either or both of the chain termini (e.g.,alkyleneoxy, alkylenedioxy, alkyleneamino, alkylenediamino, and thelike).

The terms “alkoxy,” “alkylamino” and “alkylthio” (or thioalkoxy) areused in their conventional sense, and refer to those alkyl groupsattached to the remainder of the molecule via an oxygen atom, an aminogroup, or a sulfur atom, respectively. Additionally, for dialkylaminogroups, the alkyl portions can be the same or different and can also becombined to form a 3-7 membered ring with the nitrogen atom to whicheach is attached. Accordingly, a group represented as —NR^(a)R^(b) ismeant to include piperidinyl, pyrrolidinyl, morpholinyl, azetidinyl andthe like.

The terms “halo” or “halogen,” by themselves or as part of anothersubstituent, mean, unless otherwise stated, a fluorine, chlorine,bromine, or iodine atom. Additionally, terms such as “haloalkyl,” aremeant to include monohaloalkyl and polyhaloalkyl. For example, the term“C₁₋₄ haloalkyl” is mean to include trifluoromethyl,2,2,2-trifluoroethyl, 4-chlorobutyl, 3-bromopropyl, and the like.

The term “aryl” means, unless otherwise stated, a polyunsaturated,typically aromatic, hydrocarbon group which can be a single ring ormultiple rings (up to three rings) which are fused together or linkedcovalently. The term “heteroaryl” refers to aryl groups (or rings) thatcontain from one to five heteroatoms selected from N, O, and S, whereinthe nitrogen and sulfur atoms are optionally oxidized, and the nitrogenatom(s) are optionally quatemized. A heteroaryl group can be attached tothe remainder of the molecule through a heteroatom. Non-limitingexamples of aryl groups include phenyl, naphthyl and biphenyl, whilenon-limiting examples of heteroaryl groups include pyridyl, pyridazinyl,pyrazinyl, pyrimindinyl, triazinyl, quinolinyl, quinoxalinyl,quinazolinyl, cinnolinyl, phthalaziniyl, benzotriazinyl, purinyl,benzimidazolyl, benzopyrazolyl, benzotriazolyl, benzisoxazolyl,isobenzofuryl, isoindolyl, indolizinyl, benzotriazinyl, thienopyridinyl,thienopyrimidinyl, pyrazolopyrimidinyl, imidazopyridines,benzothiaxolyl, benzofuranyl, benzothienyl, indolyl, quinolyl,isoquinolyl, isothiazolyl, pyrazolyl, indazolyl, pteridinyl, imidazolyl,triazolyl, tetrazolyl, oxazolyl, isoxazolyl, thiadiazolyl, pyrrolyl,thiazolyl, furyl, thienyl and the like. Substituents for each of theabove noted aryl and heteroaryl ring systems are selected from the groupof acceptable substituents described below.

For brevity, the term “aryl” when used in combination with other terms(e.g., aryloxy, arylthioxy, arylalkyl) includes both aryl and heteroarylrings as defined above. Thus, the term “arylalkyl” is meant to includethose radicals in which an aryl group is attached to an alkyl group(e.g., benzyl, phenethyl, pyridylmethyl and the like).

The above terms (e.g., “alkyl,” “aryl” and “heteroaryl”), in someembodiments, will include both substituted and unsubstituted forms ofthe indicated radical. Preferred substituents for each type of radicalare provided below. For brevity, the terms aryl and heteroaryl willrefer to substituted or unsubstituted versions as provided below, whilethe term “alkyl” and related aliphatic radicals is meant to refer tounsubstituted version, unless indicated to be substituted.

Substituents for the alkyl radicals (including those groups oftenreferred to as alkylene, alkenyl, alkynyl and cycloalkyl) can be avariety of groups selected from: -halogen, —OR′, —NR′R″, —SR′,—SiR′R″R′″, —OC(O)R′, —C(O)R′, —CO₂R′, —CONR′R″, —OC(O)NR′R″,—NR″C(O)R′, —NR′—C(O)NR″R′″, —NR″C(O)₂R′, —NH—C(NH₂)═NH, —NR′C(NH₂) ═NH,—NH—C(NH₂)═NR′, —S(O)R′, —S(O)₂R′, —S(O)₂NR′R″, —NR′S(O)₂R″, —CN and—NO₂ in a number ranging from zero to (2 m′+1), where m′ is the totalnumber of carbon atoms in such radical. R′, R″ and R′″ eachindependently refer to hydrogen, unsubstituted C₁₋₈ alkyl, unsubstitutedheteroalkyl, unsubstituted aryl, aryl substituted with 1-3 halogens,unsubstituted C₁₋₈ alkyl, C₁₋₈ alkoxy or C₁₋₈ thioalkoxy groups, orunsubstituted aryl-C₁₋₄ alkyl groups. When R′ and R″ are attached to thesame nitrogen atom, they can be combined with the nitrogen atom to forma 3-, 4-, 5-, 6-, or 7-membered ring. For example, —NR′R″ is meant toinclude 1-pyrrolidiny and 4-morpholinyl.

Similarly, substituents for the aryl and heteroaryl groups are variedand are generally selected from: -halogen, —OR′, —OC(O)R′, —NR′R″, —SR′,—R′, —CN, —NO₂, —CO₂R′, —CONR′R″, —C(O)R′, —OC(O)NR′R″, —NR″C(O)R′,—NR″C(O)₂R′, —NR′—C(O)NR″R′″, —NH—C(NH₂)═NH, —NR′C(NH₂)═NH,—NH—C(NH₂)═NR′, —S(O)R′, —S(O)₂R′, —S(O)₂NR′R″, —NR′S(O)₂R″, —N₃,perfluoro(C₁-C₄)alkoxy, and perfluoro(C₁-C₄)alkyl, in a number rangingfrom zero to the total number of open valences on the aromatic ringsystem; and where R′, R″ and R′″ are independently selected fromhydrogen, C₁₋₈ alkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl,unsubstituted aryl and heteroaryl, (unsubstituted aryl)-C₁₋₄ alkyl, andunsubstituted aryloxy-C₁₋₄ alkyl. Other suitable substituents includeeach of the above aryl substituents attached to a ring atom by analkylene tether of from 1-4 carbon atoms.

Two of the substituents on adjacent atoms of the aryl or heteroaryl ringmay optionally be replaced with a substituent of the formula-T-C(O)—(CH₂)_(q)—U—, wherein T and U are independently —NH—, —O—, —CH₂—or a single bond, and q is an integer of from 0 to 2. Alternatively, twoof the substituents on adjacent atoms of the aryl or heteroaryl ring mayoptionally be replaced with a substituent of the formula-A-(CH₂)_(r)—B—, wherein A and B are independently —CH₂—, —O—, —NH—,—S—, —S(O)—, —S(O)₂—, —S(O)₂NR′— or a single bond, and r is an integerof from 1 to 3. One of the single bonds of the new ring so formed mayoptionally be replaced with a double bond. Alternatively, two of thesubstituents on adjacent atoms of the aryl or heteroaryl ring mayoptionally be replaced with a substituent of the formula—(CH₂)_(s)—X—(CH₂)_(t)—, where s and t are independently integers offrom 0 to 3, and X is —O—, —NR′—, —S—, —S(O)—, —S(O)₂—, or —S(O)₂NR′—.The substituent R′ in —NR′—and —S(O)₂NR′— is selected from hydrogen orunsubstituted C₁₋₆ alkyl.

As used herein, the term “heteroatom” is meant to include oxygen (O),nitrogen (N), sulfur (S) and silicon (Si).

As used herein, a wavy line,

that intersects a single, double or triple bond in any chemicalstructure depicted herein, represent the point attachment of the single,double, or triple bond to the remainder of the molecule.

“Protecting group” refers to a moiety, except alkyl groups, that whenattached to a reactive group in a molecule masks, reduces or preventsthat reactivity. Examples of protecting groups can be found in T. W.Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 3^(rd)edition, John Wiley & Sons, New York, 1999, and Harrison and Harrison etal., Compendium of Synthetic Organic Methods, Vols. 1-8 (John Wiley andSons, 1971-1996), which are incorporated herein by reference in theirentirety. Representative hydroxy protecting groups include acyl groups,benzyl and trityl ethers, tetrahydropyranyl ethers, trialkylsilyl ethersand allyl ethers. Representative amino protecting groups include,formyl, acetyl, trifluoroacetyl, benzyl, benzyloxycarbonyl (CBZ),tert-butoxycarbonyl (BOC), trimethyl silyl (TMS),2-trimethylsilyl-ethanesulfonyl (SES), trityl and substituted tritylgroups, allyloxycarbonyl, 9-fluorenylmethyloxycarbonyl (FMOC),nitro-veratryloxycarbonyl (NVOC), and the like.

“Leaving group” has the meaning conventionally associated with it insynthetic organic chemistry, i.e., an atom or a group capable of beingdisplaced by a nucleophile and includes halo (such as chloro, bromo, andiodo), alkanesulfonyloxy, arenesulfonyloxy, alkylcarbonyloxy (e.g.,acetoxy), arylcarbonyloxy, mesyloxy, tosyloxy,trifluoromethanesulfonyloxy, aryloxy (e.g., 2,4-dinitrophenoxy),methoxy, N,O-dimethylhydroxylamino, and the like.

“Amino acid coupling reagent” refers to a reagent, such as HATU, etc.,that will react with the carboxylic acid group of an amino acid to forman activated intermediate that can be used to condense with a widevariety of nucleophiles, for example, amines, alcohols and thiols, toproduce other esters, thioesters or amides groups.

The term “pharmaceutically acceptable salts” is meant to include saltsof the active compounds which are prepared with relatively nontoxicacids or bases, depending on the particular substituents found on thecompounds described herein. When compounds of the present inventioncontain relatively acidic functionalities, base addition salts can beobtained by contacting the neutral form of such compounds with asufficient amount of the desired base, either neat or in a suitableinert solvent. Examples of salts derived frompharmaceutically-acceptable inorganic bases include aluminum, ammonium,calcium, copper, ferric, ferrous, lithium, magnesium, manganic,manganous, potassium, sodium, zinc and the like. Salts derived frompharmaceutically-acceptable organic bases include salts of primary,secondary and tertiary amines, including substituted amines, cyclicamines, naturally-occuring amines and the like, such as arginine,betaine, caffeine, choline, N,N′-dibenzylethylenediamine, diethylamine,2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine,ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine,glucosamine, histidine, hydrabamine, isopropylamine, lysine,methylglucamine, morpholine, piperazine, piperadine, polyamine resins,procaine, purines, theobromine, triethylamine, trimethylamine,tripropylamine, tromethamine and the like. When compounds of the presentinvention contain relatively basic functionalities, acid addition saltscan be obtained by contacting the neutral form of such compounds with asufficient amount of the desired acid, either neat or in a suitableinert solvent. Examples of pharmaceutically acceptable acid additionsalts include those derived from inorganic acids like hydrochloric,hydrobromic, nitric, carbonic, monohydrogencarbonic, phosphoric,monohydrogenphosphoric, dihydrogenphosphoric, sulfuric,monohydrogensulfuric, hydriodic, or phosphorous acids and the like, aswell as the salts derived from relatively nontoxic organic acids likeacetic, propionic, isobutyric, malonic, benzoic, succinic, suberic,fumaric, mandelic, phthalic, benzenesulfonic, p-tolylsulfonic, citric,tartaric, methanesulfonic, and the like. Also included are salts ofamino acids such as arginate and the like, and salts of organic acidslike glucuronic or galactunoric acids and the like (see, for example,Berge, S. M., et al, “Pharmaceutical Salts”, Journal of pharmaceuticalScience, 1977, 66, 1-19). Certain specific compounds of the presentinvention contain both basic and acidic functionalities that allow thecompounds to be converted into either base or acid addition salts.

The neutral forms of the compounds may be regenerated by contacting thesalt with a base or acid and isolating the parent compound in theconventional manner. The parent form of the compound differs from thevarious salt forms in certain physical properties, such as solubility inpolar solvents, but otherwise the salts are equivalent to the parentform of the compound for the purposes of the present invention.

In addition to salt forms, the present invention provides compoundswhich are in a prodrug form. Prodrugs of the compounds described hereinare those compounds that readily undergo chemical changes underphysiological conditions to provide the compounds of the presentinvention. Additionally, prodrugs can be converted to the compounds ofthe present invention by chemical or biochemical methods in an ex vivoenvironment. For example, prodrugs can be slowly converted to thecompounds of the present invention when placed in a transdermal patchreservoir with a suitable enzyme or chemical reagent.

Certain compounds of the present invention can exist in unsolvated formsas well as solvated forms, including hydrated forms. In general, thesolvated forms are equivalent to unsolvated forms and are intended to beencompassed within the scope of the present invention. Certain compoundsof the present invention may exist in multiple crystalline or amorphousforms. In general, all physical forms are equivalent for the usescontemplated by the present invention and are intended to be within thescope of the present invention.

Certain compounds of the present invention possess asymmetric carbonatoms (optical centers) or double bonds; the racemates, diastereomers,geometric isomers, regioisomers and individual isomers (e.g., separateenantiomers) are all intended to be encompassed within the scope of thepresent invention. The compounds of the present invention may alsocontain unnatural proportions of atomic isotopes at one or more of theatoms that constitute such compounds. For example, the compounds may beradiolabeled with radioactive isotopes, such as for example tritium(³H), iodine-125 (¹²⁵I) or carbon-14 (¹⁴C). All isotopic variations ofthe compounds of the present invention, whether radioactive or not, areintended to be encompassed within the scope of the present invention.

II. General

The present invention derives from the discovery that compounds offormula I act as potent antagonists of the CCR1 receptor. The compoundshave in vivo anti-inflammatory activity. Accordingly, the compoundsprovided herein are useful in pharmaceutical compositions, methods forthe treatment of CCR1-mediated diseases, and as controls in assays forthe identification of competitive CCR1 antagonists.

III. Compounds

In one aspect, the present invention provides for compounds havingformula I

and pharmaceutically acceptable salts and N-oxides thereof.

In formula I; the subscript m is an integer of from 0 to 4, and each R¹is independently selected from the group consisting of C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, —CO₂R_(a), —SO₂R^(a), —OR^(a), —COR^(a),—CONR^(a)R^(b), —NR^(a)R^(b), —NR^(a)COR^(b), —CONR^(a)R^(b),—NR^(a)S(O)₂R^(b), S(O)₂NR^(a)R^(b), S(O)₂R^(a), —X¹CO₂R^(a),—X¹SO₂R^(a), —X¹OR^(a), —X¹COR^(a), —X¹CONR^(a)R^(b), —X¹NR^(a)R^(b),—X¹NR^(a)COR^(b), —X¹CONR^(a)R^(b), X¹NR^(a)S(O)₂R^(b),X¹S(O)₂NR^(a)R^(b) and X¹S(O)₂R^(a), wherein X¹ is C₁₋₄ alkylene, C₂₋₄alkenylene, or C₂₋₄ alkynylene, and each R^(a) and R^(b) isindependently selected from the group consisting of hydrogen, C₁₋₈alkyl, C₁₋₈ haloalkyl and C₃₋₆ cycloalkyl, or optionally, when R^(a) andR^(b) are attached to the same nitrogen atom may be combined to form a4- to 7-membered ring having from 0-2 additional heteroatoms as membersselected from N, O or S; and wherein any two R¹ substituents attached tothe same or different carbon atoms are optionally cyclized to form a 3-to 7-membered ring; and wherein the aliphatic portions of each R¹substituent is optionally substituted with from one to three membersselected from the group consisting of —OH, —OR^(m), —OC(O)NHR^(m),—OC(O)N(R^(m))₂, —SH, —SR^(m), —S(O)R^(m), —S(O)₂R^(m), —SO₂NH₂,—S(O)₂NHR^(m), —S(O)₂N(R^(m))₂, —NHS(O)₂R^(m), —NR^(m)S(O)₂R^(m),—C(O)NH₂, —C(O)NHR^(m), —C(O)N(R^(m))₂, —C(O)R^(m), —NHC(O)R^(m),—NR^(m)C(O)R^(m), —NHC(O)NH₂, —NR^(m)C(O)NH₂, —NR^(m)C(O)NHR^(m),—NHC(O)NHR^(m), —NR^(m)C(O)N(R^(m))₂, —NHC(O)N(R^(m))₂, —CO₂H,—CO₂R^(m), —NHCO₂R^(m), —NR^(m)CO₂R^(m), —CN, —NO₂, —NH₂, —NHR^(m),—N(R^(m))₂, —NR^(m)S(O)NH₂ and —NR^(m)S(O)₂NHR^(m), wherein each R^(m)is independently an unsubstituted C₁₋₆ alkyl.

The syrnbols R^(2a), R^(2b), R^(2c), R^(2d) and R^(2e) are eachindependently selected from the group consisting of hydrogen, halogen,—OR^(c), —OC(O)R^(c), —NR^(c)R^(d), —SR^(c), —R^(e), —CN, —NO₂,—CO₂R^(c), —CONR^(c)R^(d), —C(O)R^(c), —OC(O)NR^(c)R^(d),—NR^(d)C(O)R^(c), —NR^(d)C(O)₂R^(e), —NR^(c)—C(O)NR^(c)R^(d),—NH—C(NH₂)═NH, —NR^(e)C(NH₂)═NH, —NH—C(NH₂)═NR^(e), —NH—C(NHR^(e))═NH,—NR^(e)C(NHR^(e))═NH, —NR^(e)C(NH₂)═NR^(e), —NH—C(NHR^(e))═NR^(e),—NH—C(NR^(e)R^(e))═NH, —S(O)R^(e), —S(O)₂R^(e), —NR^(c)S(O)₂R^(e),—S(O)₂NR^(c)R^(d), —N₃, —C(NOR^(c))R^(d), —C(NR^(c)W)═NW,—N(W)C(R^(c))═NW, —NR^(c)C(S)NR^(c)R^(d), —X²C(NOR^(c))R^(d),—X²C(NR^(c)W)═NW, —X²N(W)C(R^(c))═NW, —X²NR^(c)C(S)NR^(c)R^(d),—X²OR^(c), —O—X²OR^(c), —X²OC(O)R^(c), —X²NR^(c)R^(d), —O—X²NR^(c)R^(d),—X²SR^(c), —X²CN, —X²NO₂, —X²CO₂R^(c), —O—X²CO₂R^(c), —X²CONR^(c)R^(d),—O—X²CONR^(c)R^(d), —X²C(O)R^(c), —X²OC(O)NR^(c)R^(d),—X²NR^(d)C(O)R^(c), —X²NR^(d)C(O)₂R^(e), —X²NR^(c)C(O)NR^(c)R^(d),—X²NH—C(NH₂)═NH, X²NR^(e)C(NH₂)═NH, —X²NH—C(NH₂)═NR^(e),—X²NH—C(NHR^(e))═NH, —X²S(O)R^(e), —X²S(O)₂R^(e), —X²NR^(c)S(O)₂R^(e),—X²S(O)₂NR^(c)R^(d), —X²N₃, —NR^(d)—X²OR^(c), —NR^(d)—X²NR^(c)R^(d),—NR^(d)—X²CO₂R^(c), and —NR^(d)—X²CONR^(c)R^(d), wherein W is selectedfrom R^(c), —CN, —CO₂R^(e) and —NO₂, and wherein X² is C₁₋₄ alkylene,C₂₋₄ alkenylene, C₂₋₄ alkynylene or C₁₋₄ heteroalkylene; and each R^(c)and R^(d) is independently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, or optionallyR^(c) and R^(d) when attached to the same nitrogen atom can be combinedto form a five or six-membered ring having from 0 to 2 additionalheteroatoms as ring members selected from N, O or S; and each R^(e) isindependently selected from the group consisting of C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl,heteroaryl, aryl-C₁₋₄ alkyl, and aryloxy-C₁₋₄ alkyl, and each of R^(c),R^(d) and R^(e) is optionally further substituted with from one to threemembers selected from the group consisting of —OH, —OR^(n),—OC(O)NHR^(n), —OC(O)N(R^(n))₂, —SH, —SR^(n), —S(O)R^(n), —S(O)₂R^(n),—SO₂NH₂, —S(O)₂NHR^(n), —S(O)₂N(R^(n))₂, —NHS(O)₂R^(n),—NR^(n)S(O)₂R^(n), —C(O)NH₂, —C(O)NHR^(n), —C(O)N(R^(n))₂, —C(O)R^(n),—NHC(O)R^(n), —NR^(n)C(O)R^(n), —NHC(O)NH₂, —NR^(n)C(O)NH₂,—NR^(n)C(O)NHR^(n), —NHC(O)NHR^(n), —NR^(n)C(O)N(R^(n))₂,—NHC(O)N(R^(n))₂, —CO₂H, —CO₂R^(n), —NHCO₂R^(n), —NR^(n)CO₂R^(n), —CN,—NO₂, —NH², —NHR^(n), —N(R^(n))₂, —NR^(n)S(O)NH₂ and—NR^(n)S(O)₂NHR^(n), wherein each R^(n) is independently anunsubstituted C₁₋₆ alkyl; and at least one of R^(2a), R^(2b), R^(2c),R^(2d) and R^(2e) is other than hydrogen.

The letter B represents a heteroaryl ring or ring system having 1-4heteroatoms as ring members selected from the group consisting of N, Oand S; wherein B is substituted with 0 to 5 R³ substitutents, and ateach occurrence, R³ is independently selected from the group consistingof halogen, —OR^(f), —OC(O)R^(f), —NR^(f)R^(g), —SR^(f), —R^(h), —CN,—NO₂, —CO₂R^(f), —CONR^(f)R^(g), —C(O)R^(f), —OC(O)NR^(f)R^(g),—NR^(g)C(O)R^(f), —NR^(g)C(O)₂R^(h), —NR^(f)—C(O)NR^(f)R^(g),—NH—C(NH₂)═NH, —NR^(h)C(NH₂)═NH, —NH—C(NH₂)═NR^(h), —NH—C(NHR^(h))═NH,—S(O)R^(h), —S(O)₂R^(h), —NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g),—NR^(f)S(O)₂NR^(f)R^(g), —N₃, —C(O)NR^(f)S(O)R^(h),—C(O)NR^(f)S(O)₂R^(h), —P═O(OR^(f))(OR^(g)), —X³OR^(f), —X³OC(O)R^(f),—X³NR^(f)R^(g), —X³SR^(f), —X³CN, —X³NO₂, —X³CO₂R^(f), —X³CONR^(f)R^(g),—X³C(O)R^(f), —X³OC(O)NR^(f)R^(g), —X³NR^(g)C(O)R^(f),—X³NR^(g)C(O)₂R^(h), —X³NR^(f)—C(O)NR^(f)R^(g), —X³NH—C(NH₂)═NH,—X³NR^(h)C(NH₂)═NH, —X³NH—C(NH₂)═NR^(h), —X³NH—C(NHR^(h))═NH,—X³S(O)R^(h), —X³S(O)₂R^(h), —X³NR^(f)S(O)₂R^(h), —X³S(O)₂NR^(f)R^(g),—X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)R^(h), —X³P═O(OR^(f))(OR^(g)),—Y, —X³Y and —X³N₃, wherein Y is a five to ten-membered aryl, heteroarylor heterocycloalkyl ring, optionally substituted with from one to threesubstitutents selected from the group consisting of halogen, —OR^(f),—NR^(f)R^(g), —R^(h), —SR^(f), —CN, —NO₂, —CO₂R^(f), —CONR^(f)R^(g),—C(O)R^(f), —NR^(g)C(O)R^(f), —S(O)R^(h), —S(O)₂R^(h),—NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g), —C(O)NR^(f)S(O)₂R^(h),—C(O)NR^(f)S(O)R^(h), —P═O(OR^(f))(OR^(g)), —X³OR^(f), —X³NR^(f)R^(g),—X³NR^(f)S(O)₂R^(h), —X³CO₂R^(f), —X³CONR^(f)R^(g), —X³C(O)R^(f),—X³NR^(g)C(O)R^(f), —X³S(O)R^(h), —X³S(O)₂R^(h),—X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)₂R^(h), —X³P═O(OR^(f))(OR^(g))and —X³S(O)₂NR^(f)R^(g), any two R³ substituents on adjacent atoms maybe optionally combined to form a 5- to 6-membered ring optionally having1-2 heteroatom ring members selected from N, O and S; each X³ isindependently selected from the group consisting of C₁₋₄ alkylene, C₂₋₄alkenylene, C₂₋₄ alkynylene and C₁₋₄ heteroalkylene; each R^(f) andR^(g) is independently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl,heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl; and each R^(h) isindependently selected from the group consisting of C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl,heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl, wherein thealiphatic portions of X³, R^(f), R^(g) and R^(h) are optionally furthersubstituted with from one to three members selected from the groupconsisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂, —SH,—SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)²NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R^(o), —NR^(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R^(o))₂, —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein R^(o) isunsubstituted C₁₋₆ alkyl; and B is other than pyridine, quinoline orisoquinoline.

The symbol L¹ represents a bond, a C₁₋₄ alkylene, a C₁₋₄ alkenylene or aC₁₋₄ heteroalkylene linking group, each optionally substituted with from1 to 4 R⁴ groups wherein R⁴ at each occurrence is independently selectedfrom the group consisting of phenyl, —R^(k), —X⁴OR^(i), —X⁴OC(O)R^(i),—X⁴NR^(i)R^(j), —X⁴SR^(i), —X⁴CN or —X⁴NO₂, wherein X⁴ is selected fromthe group consisting of C₁₋₄ alkylene, C₂₋₄ heteroalkylene, C₂₋₄alkenylene and C₂₋₄ alkynylene and each R^(i) and R^(j) is independentlyselected from hydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl,C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄ alkyl, andaryloxy-C₁₋₄ alkyl, and each R^(k) is independently selected from thegroup consisting of C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄ alkyl, andaryloxy-C₁₋₄ alkyl.

The letter A represents a substituent selected from the group consistingof hydrogen, aryl, heteroaryl, aryl-X⁵—, heteroaryl-X⁵—, Z or Z-X⁵—,wherein Z is selected from the group consisting of —OR^(q), —OC(O)R^(q),—NR^(q)R^(r), —SR^(q), —R^(s), —CN, —NO₂, —CO₂R^(q), —CONR^(q)R^(r),—C(O)R^(q), —C(O)R^(s), —OC(O)NR^(q)R^(r), —NR^(r)C(O)R^(q),—NR^(r)C(O)₂R^(s), —NR^(q)—C(O)NR^(q)R^(r), —NH—C(NH₂)═NH,—NR^(s)C(NH₂)═NH, —NH—C(NH₂)═NR^(s), —NH—C(NHR^(s))═NH,—NR^(s)C(NHR^(s))═NH, —NR^(s)C(NH₂)═NR^(s), —NH—C(NHR^(s))═NR^(s),—NH—C(NR^(s)R^(s))═NH, —S(O)R^(s), —S(O)₂R^(s), —NR^(q)S(O)₂R^(s),—S(O)₂NR^(q)R^(r), —N₃, —C(NOR^(q))R^(r), —C(NR^(q)W)═NW,—N(W)C(R^(q))═NW, —NR^(q)C(S)NR^(q)R^(r), —C(NOR^(q))R^(r),—C(NR^(q)W)═NW, —N(W)C(R^(q))═NW, —NR^(q)C(S)NR^(q)R^(r) and—NR^(q)S(O)NR^(q)R^(r), wherein W is selected from R^(q), —CN, —CO₂R^(s)and —NO₂, and wherein X⁵ is C₁₋₄ alkylene, C₁₋₄ heteroalkylene, C₂₋₆alkenylene and C₂₋₆ alkynylene; and each R^(q) and R^(r) isindependently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl, or optionally R^(q) and R^(r) whenattached to the same nitrogen atom can be combined with the nitrogenatom to form a four-, five- or six-membered ring having from 0 to 2additional heteroatoms as ring members; and each R^(s) is independentlyselected from the group consisting of C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl, and each of X⁵, R^(q), R^(r) and R^(s) isoptionally further substituted with from one to three members selectedfrom the group consisting of —OH, —OR^(t), —OC(O)NHR^(t),—OC(O)N(R^(t))₂, —SH, —SR^(t), —S(O)R^(t), —S(O)₂R^(t), —SO₂NH₂,—S(O)₂NHR^(t), —S(O)₂N(R^(t))₂, —NHS(O)₂R^(t), —NR^(t)S(O)₂R^(t),—C(O)NH₂, —C(O)NHR^(t), —C(O)N(R^(t))₂, —C(O)R^(t), —NHC(O)R^(t),—NR^(t)C(O)R^(t), —NHC(O)NH₂, —NR^(t)C(O)NH₂, —NR^(t)C(O)NHR^(t),—NHC(O)NHR^(t), —NR^(t)C(O)N(R^(t))₂, —NHC(O)N(R^(t))₂, —CO₂H,—CO₂R^(t), —NHCO₂R^(t), —NR^(t)CO₂R^(t), —CN, —NO₂, —NH₂, —NHR^(t),—N(R^(t))₂, —NR^(t)S(O)NH₂ and —NR^(t)S(O)₂NHR^(t), wherein each R^(t)is independently an unsubstituted C₁₋₆ alkyl.

The letter X represents a linking group selected from the groupconsisting of —C(R^(u))₂—, —O—, and —NR^(u), wherein each R^(u) isindependently selected from the group consisting of hydrogen, C₁₋₈alkyl, C₁₋₈ haloalkyl and C₃₋₆ cycloalkyl, is optionally furthersubstituted with from one to three members selected from the groupconsisting of —OH, oxo, —OR^(v), —OC(O)NHR^(v), —OC(O)N(R^(v))₂, —SH,—SR^(v), —S(O)R^(v), —S(O)₂R^(v), —SO₂NH₂, —S(O)₂NHR^(v),—S(O)₂N(R^(v))₂, —NHS(O)₂R^(v), —NR^(v)S(O)₂R^(v), —C(O)NH₂,—C(O)NHR^(v), —C(O)N(R^(v))₂, —C(O)R^(v), —NHC(O)R^(v),—NR^(t)C(O)R^(v), —NHC(O)NH₂, —NR^(v)C(O)NH₂, —NR^(v)C(O)NHR^(v),—NHC(O)NHR^(v), —NR^(v)C(O)N(R^(v))₂, —NHC(O)N(R^(v))₂, —CO₂H,—CO₂R^(v), —NHCO₂R^(v), —NR^(v)CO₂R^(v), —CN, —NO₂, —NH₂, —NHR^(v),—N(R^(v))₂, —NR^(v)S(O)NH₂ and —NR^(v)S(O)₂NHR^(v), wherein each R^(v)is independently an unsubstituted C₁₋₆ alkyl or C₁₋₆ haloalkyl.

For the compounds of the present invention, the molecular weight istypically less than or equal to 700. In some instances, preferredcompounds have a molecular weight of less than 600, more preferably lessthan 550. In one group of particularly preferred embodiments, thecompounds have a molecular weight of from 400 to 550. The compounds ofthe present invention typically have a calculated octanol/waterpartition coefficient of from 1.0 to 5.5, more preferably from 1.0 to4.0.

The R¹ Substituent:

In some embodiments, the subscript m is 0, 1 or 2. When two R¹substituents are provided, each is independently selected. In one groupof embodiments, when one or two R¹ substituents are present, they areselected from C₁₋₆ alkyl, C₁₋₃ haloalkyl, C₃₋₆ cycloalkyl, —CO₂R^(a),—SO₂R^(a), —OR^(a), COR^(a), —CONR^(a)R^(b), —NR^(a)R^(b),—NR^(a)COR^(b), —NR^(a)S(O)₂R^(b), S(O)₂NR^(a)R^(b), S(O)₂R^(a),—X¹CO₂R^(a), —X¹SO₂R^(a), —X¹OR^(a), —X¹COR^(a), —X¹CONR^(a)R^(b),—X¹NR^(a)R^(b), —X¹NR^(a)COR^(b), —X¹CONR^(a)R^(b), X¹NR^(a)S(O)₂R^(b),X¹S(O)₂NR^(a)R^(b) and X¹S(O)₂R^(a), wherein X¹ is C₁₋₂ alkylene, andeach R^(a) and R^(b) is independently selected from the group consistingof hydrogen, C₁₋₄ alkyl, C₁₋₃ haloalkyl and C₃₋₆ cycloalkyl, whereinR^(a) and R^(b) when attached to the same nitrogen atom may be combinedto form a 5- or 6-membered ring. In another group of embodiments, R¹ isselected from C₁₋₆ alkyl, —CO₂R^(a) and —CONR^(a)R^(b).

The R²Substituents (R^(2a), R^(2b), R^(2c), R^(2d) and R^(2e)):

In some embodiments, the R² substituents are independently selected fromhydrogen, halogen, C₁₋₆ alkyl, C₁₋₃ haloalkyl, C₃₋₆ cycloalkyl,—CO₂R^(c), —S(O)₂R^(e), —OR^(c), —C(O)R^(c), —CONR^(c)R^(d) and—S(O)₂NR^(c)R^(d). In some embodiments each of R^(2a), R^(2b), R^(2c),R^(2d) and R^(2e) is independently selected from hydrogen, halogen, C₁₋₆alkyl and C₁₋₃ haloalkyl.

In some embodiments, R^(2a) is a substituent selected from the groupconsisting of hydrogen, halogen, cyano, heteroaryl, —NO₂, —CO₂R^(c),—CONR^(c)R^(d), —C(O)R^(c), —S(O)R^(e), —S(O)₂R^(e), —R^(e),—C(NOR^(c))R^(d), —C(NR^(c)W)═NW, —N(W)C(R^(c))═NW, —X²C(NOR^(c))R^(d),—X²C(NR^(c)W)═NW, —X²N(W)C(R^(c))═NW, —X²NR^(c)R^(d), —X²SR^(c), —X²CN,—X²NO₂, —X²CO₂R^(c), —X²CONR^(c)R^(d), —X²C(O)R^(c),—X²OC(O)NR^(c)R^(d), —X²NR^(d)C(O)R^(c), —X²NR^(d)C(O)₂R^(e),—X²NR^(c)C(O)NR^(c)R^(d), —X²NH—C(NH₂)═NH, —X²NR^(e)C(NH₂)═NH,—X²NH—C(NH₂)═NR^(e), —X²NH—C(NHR^(e))═NH, —X²S(O)R^(e), —X²S(O)₂R^(e),—X²NR^(c)S(O)₂R^(e), —X²S(O)₂NR^(c)R^(d) and —X²N₃. The symbols R^(2b)and R^(2e) are each hydrogen; and R^(2c) and R^(2d) are eachindependently selected from the group consisting of hydrogen halogen,—OR^(c), —SR^(c), —R^(e), —CN, —NO₂, —CO₂R^(c), —C(O)R^(c),—NR^(d)C(O)R^(c), NR^(d)C(O)₂R^(e), —S(O)₂R^(e), —S(O)₂NR^(c)R^(d),—X²OR^(c), —O—X²OR^(c), —X²NR^(c)R^(d), —O—X²NR^(c)R^(d) and—NR^(d)—X²CO₂R^(c).

In still other embodiments, the symbols R^(2a), R^(2b), R^(2d) andR^(2e) are each hydrogen; and R^(2c) is selected from the groupconsisting of halogen, —OR^(c), —SR^(c), —R^(e), —CN, —NO₂, —CO₂R^(c),—C(O)R^(c), —NR^(d)C(O)R^(c), —NR^(d)C(O)₂R^(e), —S(O)₂R^(e),—S(O)₂NR^(c)R^(d), —X²OR^(c), —O—X²OR^(c), —X²NR^(c)R^(d),—O—X²NR^(c)R^(d) and —NR^(d)—X²CO₂R^(c). In certain embodiments, R^(2c)is fluoro, chloro, bromo or iodo.

In yet another group of embodiments, the symbols R^(2a), R^(2b), R^(2e)are each hydrogen; and R^(2c) and R^(2d) are each independently selectedfrom the group consisting of hydrogen halogen, —OR^(c), —SR^(c), —R^(e),—CN, —NO₂, —CO₂R^(c), —C(O)R^(c), —NR^(d)C(O)R^(c), NR^(d)C(O)₂R^(e),—S(O)₂R^(e), —S(O)₂NR^(c)R^(d), —X²OR^(c), —O—X²OR^(c), —X²NR^(c)R^(d),—O—X²NR^(c)R^(d) and —NR^(d)—X²CO₂R^(c).

In still another group of embodiments, the symbols R^(2a), R^(2b),R^(2d) and R^(2e) are each hydrogen and R^(2c) is selected from thegroup consisting of halogen, —OR^(c), —SR^(c), —R^(e), —CN, —NO₂.

The B Substituent:

In certain embodiment of compounds having Formula I the symbol B is aheteroaryl group selected from the group consisting of:

-   -   i) 5- to 6-membered heteroaryl ring having from 1-4 heteroatoms        as ring members selected from the group consisting of N, O and        S, and is substituted with 1-4 R³ substituents; and    -   ii) 8- to 10-membered bicyclic heteroaryl ring having from 1-4        heteroatoms as ring members selected from the group consisting        of N, O and S, and is substituted with 1-4 R³ substituents.

In one embodiment of formula I, B can be attached to the remainder ofthe molecule through a carbon atom. Alternatively, when B is selectedfrom the group set forth in (i) or (ii) above, then B can be attached tothe remainder of the molecule through a nitrogen atom or a carbon atom.

In a second embodiment of compounds having formula I, the symbol B is anoptionally substituted member selected from the group consisting ofpyrimidinyl, pyrazinyl and pyridazinyl. In another instance, B is anoptionally substituted member selected from the group consisting oftetrazolyl, triazolyl, imidazolyl, pyrrolyl, pyrazolyl, oxazolyl,thiazolyl, isothiazolyl, isoxazolyl, furanyl, oxadiazolyl and thienyl.In yet another instance, the symbol B is an optionally substitutedmember selected from the group consisting of benzimidazolyl,benzopyrazolyl, benzotriazolyl, benzotetrazolyl, benzooxazolyl,benzoisoxazolyl, benzooxadiazolyl, benzothienyl, benzoisothiazolyl,benzofuranyl, quinazolinyl, quinoxalinyl, naphthyridinyl,pyrimidinopyridinyl, pyridazinopyridinyl, pyrazinopyridinyl,pyridinopyrimidinyl, pyrimidinopyrimidinyl, pyridazinopyrimidinyl,pyrazinopyrimidinyl, pyridinopyridazinyl, pyrimidinopyridazinyl,pyridazinopyridazinyl, pyrazinopyridazinyl, pyridinopyrazinyl,pyrimidinopyrazinyl, pyridazinopyrazinyl, pyrazinopyrazinyl,pyridinoimidazolyl, purinyl, pyridazinoimidazolyl, pyrazinoimidazolyl,pyridinooxazolyl, pyrimidinooxazolyl, pyridazinooxazolyl,pyrazinooxazolyl, pyridinoisoxazolyl, pyrimidinoisoxazolyl,pyridazinoisoxazolyl, pyrazinoisoxazolyl, pyridinooxathiadiazolyl,pyrimidinooxathiadiazolyl, pyridazinooxathiadiazolyl,pyrazinooxathiadiazolyl, pyridinooxathiazolyl, pyrimidinooxathiazolyl,pyridazinooxathiazolyl, pyrazinooxathiazolyl, pyridinothiazolyl,pyrimidinothiazolyl, pyridazinothiazolyl, pyrazinothiazolyl,pyridinopyrazolyl, pyrimidinopyrazolyl, pyridazinopyrazolyl,pyrazinopyrazolyl, pyridinopyrrolyl, pyrimidinopyrrolyl,pyridazinopyrrolyl and pyrazinopyrrolyl.

In another embodiment in compounds having Formula I, the symbol B hasthe formula selected from the group set forth in FIG. 1. In FIG. 1, theR³ substitutent at each occurrence, is independently selected from thegroup consisting of halogen, —OR^(f), —OC(O)R^(f), —NR^(f)R^(g),—SR^(f), —R^(h), —CN, —NO₂, —CO₂R^(f), —CONR^(f)R^(g), —C(O)R^(f),—OC(O)NR^(f)R^(g), —NR^(g)C(O)R^(f), —NR^(g)C(O)₂R^(h),—NR^(f)—C(O)NR^(f)R^(g), —NH—C(NH₂)═NH, —NR^(h)C(NH₂)═NH,—NH—C(NH₂)═NR^(h), —NH—C(NHR^(h))═NH, —S(O)R^(h), —S(O)₂R^(h),—NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —N₃,—C(O)NR^(f)S(O)R^(h), —C(O)NR^(f)S(O)₂R^(h), —P═O(OR^(f))(OR^(g)),—X³OR^(f), —X³OC(O)R^(f), —X³NR^(f)R^(g), —X³SR^(f), —X³CN, —X³NO₂,—X³CO₂R^(f), —X³CONR^(f)R^(g), —X³C(O)R′, —X³OC(O)NR^(f)R^(g),—X³NR^(g)C(O)R^(f), —X³NR^(g)C(O)₂R^(h), —X³NR^(f)—C(O)NR^(f)R^(g),—X³NH—C(NH₂)═NH, —X³NR^(h)C(NH₂)═NH, —X³NH—C(NH₂)═NR^(h),—X³NH—C(NHR^(h))═NH, —X³S(O)R^(h), —X³S(O)₂R^(h), —X³NR^(f)S(O)₂R^(h),—X³S(O)₂NR^(f)R^(g), —X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)R^(h),—X³P═O(OR^(f))(OR^(g)), —Y, —X³Y and —X³N₃, wherein Y is a five toten-membered aryl, heteroaryl or heterocycloalkyl ring, optionallysubstituted with from one to three substitutents selected from the groupconsisting of halogen, —OR^(f), —NR^(f)R^(g), —R^(h), —SR^(f), —CN,—NO₂, —CO₂R^(f), —CONR^(f)R^(g), —C(O)R^(f), —NR^(g)C(O)R^(f),—S(O)R^(h), —S(O)₂R^(h), —NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g),—C(O)NR^(f)S(O)₂R^(h), —C(O)NR^(f)S(O)R^(h), —P═O(OR^(f))(OR^(g)),—X³OR^(f), —X³NR^(f)R^(g), —X³NR^(f)S(O)₂R^(h), —X³CO₂R^(f),—X³CONR^(f)R^(g), —X³C(O)R^(f), —X³NR^(g)C(O)R^(f), —X³S(O)R^(h),—X³S(O)₂R^(h), —X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)₂R^(h),—X³P═O(OR^(f))(OR^(g)) and —X³S(O)₂NR^(f)R^(g). In addition any two R³substituents on adjacent atoms may be optionally combined to form a 5-to 6-membered ring optionally having 1-2 heteroatom ring membersselected from N, O and S. Each X³ is independently selected from thegroup consisting of C₁₋₄ alkylene, C₂₋₄ alkenylene, C₂₋₄ alkynylene andC₁₋₄ heteroalkylene; each R^(f) and R^(g) is independently selected fromhydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl,C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl;and each R^(h) is independently selected from the group consisting ofC₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl,aryl, heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl, wherein thealiphatic portions of X³, R^(f), R^(g) and R^(h) are optionally furthersubstituted with from one to three members selected from the groupconsisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂, —SH,—SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)₂NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R_(o), —NR_(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R_(o))², —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein R^(o) isunsubstituted C₁₋₆ alkyl. The subscript p is an integer from 0-5.

In yet another embodiment, the symbol B has the formula selected fromthe group set forth in FIG. 2, wherein the subscript p is an integerfrom 0-3; and wherein the R³ substituent, at each occurrence is eachindependently selected from the group as described above for the R³substitutents for FIG. 1. In yet another embodiment, in compounds havingformula I the symbol B is a bicyclic ring system having the formulaselected from the group set forth in FIGS. 3 and 4, wherein the ringvertices a, b, c and d are each independently selected from the groupconsisting of CH, CR³, N and NO; the ring vertices e, f, g and h areeach independently selected from the group consisting of CH₂, CHR³,C(R³)₂, S, SO, SO₂, NH, NR³ and O; the subscript p is an integer from0-3; and wherein the R³ substituent, at each occurrence is eachindependently selected from the group as described above for the R³substitutents for FIG. 1.

Still other groups of R³ selections are those in which each R³ isindependently selected from the group consisting of hydrogen, halogen,chloro, fluoro, bromo, oxazolyl, pyridyl, pyrimidinyl, oxadiazolyl,thiazolyl, —R^(h) or cyano. In another group of embodiments, each R³ isindependently selected from the group consisting of halogen, C₁₋₄ alkyland C₁₋₄ haloalkyl, wherein the aliphatic portions are optionallysubstituted with from one to three members selected from the groupconsisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂, —SH,—SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)₂NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R^(o), —NR^(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R^(o))₂, —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein each R^(o)is independently an unsubstituted C₁₋₆ alkyl.

The A group:

In some embodiments, the letter A in formula I represents those groupsprovided in FIG. 5 wherein the subscript r is an integer of from 0 to 4.In still other embodiments, A is selected from those groups in FIG. 5 inwhich the subscript r is an integer of from 0 to 2. In still anothergroup of embodiments, A is selected from those groups in FIG. 5 whereinthe subscript r is 0 or 1.

Other Embodiments:

In other embodiments, compounds are provided in which: m is 0; X is—CH₂—; A is hydrogen or hydroxy; L¹ is selected from the groupconsisting of —CH₂—, —CH₂CH₂— and —CH═CH—; and B is a pyrazolyl orpyridopyrazolyl ring attached to the remainder of the molecule via anitrogen atom ring member. Preferred R³ substituents are those that havebeen described above. In still other embodiments, preferred, selected oridentified groups in each of A, B, L¹, m, R¹, R^(2a), R^(2b), R^(2c),R^(2d), R^(2e) are combined.

In another embodiment of the invention, compounds having formula I areselected from the group set forth in Table 1.

In yet another embodiment of the invention, the compound having formulaI is selected from the group set forth on FIG. 6.

The -L¹-B Group:

In certain embodiments, -L¹-B has a formula as set forth on FIG. 7. InFIG. 7, the ring vertices a, b, c and d are each independently CH,C(R³), N or NO; and at each occurrence, R³ is selected from thesubstituents provided above with reference to B.

Preparation of Compounds

As shown in the examples below, there are variety of synthetic routes bywhich a skilled artisan can prepare compounds and intermediates of thepresent invention. Schemes 1A-1I illustrate several methods for thepreparation of certain piperidine derivatives of the invention or theirintermediates. In each of these schemes, P is a protecting group, X is aleaving group, such as a halogen atom; Nu is a nucleophile, andnon-interferring substituents are provided as —R, —R′, —R″, and —R′″.

The schemes below provide certain synthetic routes that can be followedto access certain piperidine derivative of the invention. Other routesor modification of the routes presented below would be readily apparentto a skilled artisan and within the scope of the present invention.

Scheme 1A shows the synthesis of a piperidine intermediate used toprepare compounds of the invention.

Scheme 1B shows the syntheses of certain piperidine intermediates usedto prepare compound of the invention.

Scheme 1C shows the synthesis of certain piperidine derivatives of thepresent invention.

Scheme 1D shows the synthesis of certain piperidine derivatives of thepresent invention.

Scheme 1E shows the synthesis of certain piperidine derivatives of thepresent invention.

Scheme 1F shows the synthesis of certain piperidine derivatives of thepresent invention.

Scheme 1G shows the synthesis of certain piperidine derivatives of thepresent invention.

Scheme 1H shows the synthesis of certain piperidine derivatives of thepresent invention.

A family of specific compounds of particular interest having formula Iconsists of compounds, pharmaceutically acceptable salts, hydrates orN-oxides thereof, as set forth in Table 1. TABLE 1 1.2-(4-Chloro-5-methyl-3-trifluoromethyl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone 2.2-(4-Chloro-5-methyl-3-oxazol-2-yl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone 3.6-Chloro-3-{2-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-2-oxo-ethyl}-3H-benzooxazol-2-oneIV. Pharmaceutical Compositions

In addition to having a compound(s) of formula I provided above, thecompositions for modulating CCR1, CCR2 and CCR3 activity in humans andanimals will typically contain a pharmaceutical carrier or diluent.

The term “composition” as used herein is intended to encompass a productcomprising the specified ingredients in the specified amounts, as wellas any product which results, directly or indirectly, from combinationof the specified ingredients in the specified amounts. By“pharmaceutically acceptable” it is meant the carrier, diluent orexcipient must be compatible with the other ingredients of theformulation and not deleterious to the recipient thereof.

The pharmaceutical compositions for the administration of the compoundsof this invention may conveniently be presented in unit dosage form andmay be prepared by any of the methods well known in the art of pharmacyand drug delivery. All methods include the step of bringing the activeingredient into association with the carrier which constitutes one ormore accessory ingredients. In general, the pharmaceutical compositionsare prepared by uniformly and intimately bringing the active ingredientinto association with a liquid carrier or a finely divided solid carrieror both, and then, if necessary, shaping the product into the desiredformulation. In the pharmaceutical composition the active objectcompound is included in an amount sufficient to produce the desiredeffect upon the process or condition of diseases.

The pharmaceutical compositions containing the active ingredient may bein a form suitable for oral use, for example, as tablets, troches,lozenges, aqueous or oily suspensions, dispersible powders or granules,emulsions and self emulsifications as described in U.S. Pat. No.6,451,339, hard or soft capsules, syrups, elixirs, solutions, buccalpatch, oral gel, chewing gum, chewable tablets, effervescent powder andeffervescent tablets. Compositions intended for oral use may be preparedaccording to any method known to the art for the manufacture ofpharmaceutical compositions and such compositions may contain one ormore agents selected from the group consisting of sweetening agents,flavoring agents, coloring agents, antioxidants and preserving agents inorder to provide pharmaceutically elegant and palatable preparations.Tablets contain the active ingredient in admixture with non-toxicpharmaceutically acceptable excipients which are suitable for themanufacture of tablets. These excipients may be for example, inertdiluents, such as cellulose, silicon dioxide, aluminum oxide, calciumcarbonate, sodium carbonate, glucose, mannitol, sorbitol, lactose,calcium phosphate or sodium phosphate; granulating and disintegratingagents, for example, corn starch, or alginic acid; binding agents, forexample PVP, cellulose, PEG, starch, gelatin or acacia, and lubricatingagents, for example magnesium stearate, stearic acid or talc. Thetablets may be uncoated or they may be coated, enterically or otherwise,by known techniques to delay disintegration and absorption in thegastrointestinal tract and thereby provide a sustained action over alonger period. For example, a time delay material such as glycerylmonostearate or glyceryl distearate may be employed. They may also becoated by the techniques described in the U.S. Pat. Nos. 4,256,108;4,166,452; and 4,265,874 to form osmotic therapeutic tablets for controlrelease.

Formulations for oral use may also be presented as hard gelatin capsuleswherein the active ingredient is mixed with an inert solid diluent, forexample, calcium carbonate, calcium phosphate or kaolin, or as softgelatin capsules wherein the active ingredient is mixed with water or anoil medium, for example peanut oil, liquid paraffin, or olive oil.Additionally, emulsions can be prepared with a non-water miscibleingredient such as oils and stabilized with surfactants such asmono-diglycerides, PEG esters and the like.

Aqueous suspensions contain the active materials in admixture withexcipients suitable for the manufacture of aqueous suspensions. Suchexcipients are suspending agents, for example sodiumcarboxymethylcellulose, methylcellulose, hydroxy-propylmethylcellulose,sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia;dispersing or wetting agents may be a naturally-Occurring phosphatide,for example lecithin, or condensation products of an alkylene oxide withfatty acids, for example polyoxy-ethylene stearate, or condensationproducts of ethylene oxide with long chain aliphatic alcohols, forexample heptadecaethyleneoxycetanol, or condensation products ofethylene oxide with partial esters derived from fatty acids and ahexitol such as polyoxyethylene sorbitol monooleate, or condensationproducts of ethylene oxide with partial esters derived from fatty acidsand hexitol anhydrides, for example polyethylene sorbitan monooleate.The aqueous suspensions may also contain one or more preservatives, forexample ethyl, or n-propyl, p-hydroxybenzoate, one or more coloringagents, one or more flavoring agents, and one or more sweetening agents,such as sucrose or saccharin.

Oily suspensions may be formulated by suspending the active ingredientin a vegetable oil, for example arachis oil, olive oil, sesame oil orcoconut oil, or in a mineral oil such as liquid paraffin. The oilysuspensions may contain a thickening agent, for example beeswax, hardparaffin or cetyl alcohol. Sweetening agents such as those set forthabove, and flavoring agents may be added to provide a palatable oralpreparation. These compositions may be preserved by the addition of ananti-oxidant such as ascorbic acid.

Dispersible powders and granules suitable for preparation of an aqueoussuspension by the addition of water provide the active ingredient inadmixture with a dispersing or wetting agent, suspending agent and oneor more preservatives. Suitable dispersing or wetting agents andsuspending agents are exemplified by those already mentioned above.Additional excipients, for example sweetening, flavoring and coloringagents, may also be present.

The pharmaceutical compositions of the invention may also be in the formof oil-in-water emulsions. The oily phase may be a vegetable oil, forexample olive oil or arachis oil, or a mineral oil, for example liquidparaffin or mixtures of these. Suitable emulsifying agents may benaturally-occurring gums, for example gum acacia or gum tragacanth,naturally-occurring phosphatides, for example soy bean, lecithin, andesters or partial esters derived from fatty acids and hexitolanhydrides, for example sorbitan monooleate, and condensation productsof the said partial esters with ethylene oxide, for examplepolyoxyethylene sorbitan monooleate. The emulsions may also containsweetening and flavoring agents.

Syrups and elixirs may be formulated with sweetening agents, for exampleglycerol, propylene glycol, sorbitol or sucrose. Such formulations mayalso contain a demulcent, a preservative and flavoring and coloringagents. Oral solutions can be prepared in combination with, for example,cyclodextrin, PEG and surfactants.

The pharmaceutical compositions may be in the form of a sterileinjectable aqueous or oleagenous suspension. This suspension may beformulated according to the known art using those suitable dispersing orwetting agents and suspending agents which have been mentioned above.The sterile injectable preparation may also be a sterile injectablesolution or suspension in a non-toxic parenterally-acceptable diluent orsolvent, for example as a solution in 1,3-butane diol. Among theacceptable vehicles and solvents that may be employed are water,Ringer's solution and isotonic sodium chloride solution. In addition,sterile, fixed oils are conventionally employed as a solvent orsuspending medium. For this purpose any bland fixed oil may be employedincluding synthetic mono- or diglycerides. In addition, fatty acids suchas oleic acid find use in the preparation of injectables.

The compounds of the present invention may also be administered in theform of suppositories for rectal administration of the drug. Thesecompositions can be prepared by mixing the drug with a suitablenon-irritating excipient which is solid at ordinary temperatures butliquid at the rectal temperature and will therefore melt in the rectumto release the drug. Such materials include cocoa butter andpolyethylene glycols. Additionally, the compounds can be administeredvia ocular delivery by means of solutions or ointments. Still further,transdermal delivery of the subject compounds can be accomplished bymeans of iontophoretic patches and the like. For topical use, creams,ointments, jellies, solutions or suspensions, etc., containing thecompounds of the present invention are employed. As used herein, topicalapplication is also meant to include the use of mouth washes andgargles.

The compounds of the invention may be formulated for depositing into amedical device, which may include any of variety of conventional grafts,stents, including stent grafts, catheters, balloons, baskets or otherdevice that can be deployed or permanently implanted within a bodylumen. As a particular example, it would be desirable to have devicesand methods which can deliver compounds of the invention to the regionof a body which has been treated by interventional technique.

In exemplary embodiment, the inhibitory agent of this invention may bedeposited within a medical device, such as a stent, and delivered to thetreatment site for treatment of a portion of the body.

Stents have been used as delivery vehicles for therapeutic agents (i.e.,drugs). Intravascular stents are generally permanently implanted incoronary or peripheral vessels. Stent designs include those of U.S. Pat.No. 4,733,655 (Palmaz), U.S. Pat. No. 4,800,882 (Gianturco), or U.S.Pat. No. 4,886,062 (Wiktor). Such designs include both metal andpolymeric stents, as well as self-expanding and balloon-expandablestents. Stents may also used to deliver a drug at the site of contactwith the vasculature, as disclosed in U.S. Pat. No. 5,102,417 (Palmaz)and in International Patent Application Nos. WO 91/12779 (Medtronic,Inc.) and WO 90/13332 (Cedars-Sanai Medical Center), U.S. Pat. No.5,419,760 (Narciso, Jr.) and U.S. Pat. No. 5,429,634 (Narciso, Jr.), forexample. Stents have also been used to deliver viruses to the wall of alumen for gene delivery, as disclosed in U.S. patent application Ser.No. 08/746,404, filed Nov. 8, 1996 (Donovan et al.).

The term “deposited” means that the inhibitory agent is coated,adsorbed, placed, or otherwise incorporated into the device by methodsknown in the art. For example, the inhibitory agent may be embedded andreleased from within (“matrix type”) or surrounded by and releasedthrough (“reservoir type”) polymer materials that coat or span themedical device. In the later example, the inhibitory agent may beentrapped within the polymer materials or coupled to the polymermaterials using one or more the techniques for generating such materialsknown in the art. In other formulations, the inhibitory agent may belinked to the surface of the medical device without the need for acoating by means of detachable bonds and release with time, can beremoved by active mechanical or chemical processes, or are in apermanently immobilized form that presents the inhibitory agent at theimplantation site.

In one embodiment, the inhibitory agent may be incorporated with polymercompositions during the formation of biocompatible coatings for medicaldevices, such as stents. The coatings produced from these components aretypically homogeneous and are useful for coating a number of devicesdesigned for implantation.

The polymer may be either a biostable or a bioabsorbable polymerdepending on the desired rate of release or the desired degree ofpolymer stability, but a bioabsorbable polymer is preferred for thisembodiment since, unlike a biostable polymer, it will not be presentlong after implantation to cause any adverse, chronic local response.Bioabsorbable polymers that could be used include, but are not limitedto, poly(L-lactic acid), polycaprolactone, polyglycolide (PGA),poly(lactide-co-glycolide) (PLLA/PGA), poly(hydroxybutyrate),poly(hydroxybutyrate-co-valerate), polydioxanone, polyorthoester,polyanhydride, poly(glycolic acid), poly(D-lactic acid), poly(L-lacticacid), poly(D,L-lactic acid), poly(D,L-lactide) (PLA), poly (L-lactide)(PLLA), poly(glycolic acid-co-trimethylene carbonate) (PGA/PTMC),polyethylene oxide (PEO), polydioxanone (PDS), polyphosphoester,polyphosphoester urethane, poly(amino acids), cyanoacrylates,poly(trimethylene carbonate), poly(iminocarbonate), copoly(ether-esters)(e.g., PEO/PLA), polyalkylene oxalates, polyphosphazenes andbiomolecules such as fibrin, fibrinogen, cellulose, starch, collagen andhyaluronic acid, polyepsilon caprolactone, polyhydroxy butyric acid,polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates,cross linked or amphipathic block copolymers of hydrogels, and othersuitable bioabsorbable poplymers known in the art. Also, biostablepolymers with a relatively low chronic tissue response such aspolyurethanes, silicones, and polyesters could be used and otherpolymers could also be used if they can be dissolved and cured orpolymerized on the medical device such as polyolefins, polyisobutyleneand ethylene-alphaolefin copolymers; acrylic polymers and copolymers,vinyl halide polymers and copolymers, such as polyvinyl chloride;polyvinylpyrrolidone; polyvinyl ethers, such as polyvinyl methyl ether;polyvinylidene halides, such as polyvinylidene fluoride andpolyvinylidene chloride; polyacrylonitrile, polyvinyl ketones; polyvinylaromatics, such as polystyrene, polyvinyl esters, such as polyvinylacetate; copolymers of vinyl monomers with each other and olefins, suchas ethylene-methyl methacrylate copolymers, acrylonitrile-styrenecopolymers, ABS resins, and ethylene-vinyl acetate copolymers; pyrancopolymer; polyhydroxy-propyl-methacrylamide-phenol;polyhydroxyethyl-aspartamide-phenol; polyethyleneoxide-polylysinesubstituted with palmitoyl residues; polyamides, such as Nylon 66 andpolycaprolactam; alkyd resins, polycarbonates; polyoxymethylenes;polyimides; polyethers; epoxy resins, polyurethanes; rayon;rayon-triacetate; cellulose, cellulose acetate, cellulose butyrate;cellulose acetate butyrate; cellophane; cellulose nitrate; cellulosepropionate; cellulose ethers; and carboxymethyl cellulose.

Polymers and semipermeable polymer matrices may be formed into shapedarticles, such as valves, stents, tubing, prostheses and the like.

In one embodiment of the invention, the inhibitory agent of theinvention is coupled to a polymer or semipermeable polymer matrix thatis formed as a stent or stent-graft device.

Typically, polymers are applied to the surface of an implantable deviceby spin coating, dipping or spraying. Additional methods known in theart can also be utilized for this purpose. Methods of spraying includetraditional methods as well as microdeposition techniques with an inkjettype of dispenser. Additionally, a polymer can be deposited on animplantable device using photo-patterning to place the polymer on onlyspecific portions of the device. This coating of the device provides auniform layer around the device which allows for improved diffusion ofvarious analytes through the device coating.

In preferred embodiments of the invention, the inhibitory agent isformulated for release from the polymer coating into the environment inwhich the medical device is placed. Preferably, the inhibitory agent isreleased in a controlled manner over an extended time frame (e.g.,months) using at least one of several well-known techniques involvingpolymer carriers or layers to control elution. Some of these techniqueswere previously described in U.S. Patent Application 20040243225A1, theentire disclosure of which is incorporated in its entirety.

Moreover, as described for example in U.S. Pat. No. 6,770,729, which isincorporated herein in its entirety, the reagents and reactionconditions of the polymer compositions can be manipulated so that therelease of the inhibitory agent from the polymer coating can becontrolled. For example, the diffusion coefficient of the one or morepolymer coatings can be modulated to control the release of theinhibitory agent from the polymer coating. In a variation on this theme,the diffusion coefficient of the one or more polymer coatings can becontrolled to modulate the ability of an analyte that is present in theenvironment in which the medical device is placed (e.g. an analyte thatfacilitates the breakdown or hydrolysis of some portion of the polymer)to access one or more components within the polymer composition (and forexample, thereby modulate the release of the inhibitory agent from thepolymer coating). Yet another embodiment of the invention includes adevice having a plurality of polymer coatings, each having a pluralityof diffusion coefficients. In such embodiments of the invention, therelease of the inhibitory agent from the polymer coating can bemodulated by the plurality of polymer coatings.

In yet another embodiment of the invention, the release of theinhibitory agent from the polymer coating is controlled by modulatingone or more of the properties of the polymer composition, such as thepresence of one or more endogenous or exogenous compounds, oralternatively, the pH of the polymer composition. For example, certainpolymer compositions can be designed to release a inhibitory agent inresponse to a decrease in the pH of the polymer composition.Alternatively, certain polymer compositions can be designed to releasethe inhibitory agent in response to the presence of hydrogen peroxide.

V. Methods of Treating Diseases Modulated by CCR1, CCR2 and/or CCR3

In yet another aspect, the present invention provides methods oftreating CCR1-, CCR2- and/or CCR3-mediated conditions or diseases byadministering to a subject having such a disease or condition, atherapeutically effective amount of a compound of formula I above. The“subject” is defined herein to include animals such as mammals,including, but not limited to, primates (e.g., humans), cows, sheep,goats, horses, dogs, cats, rabbits, rats, mice and the like.

CCR1 provides a target for interfering with or promoting specificaspects of immune cell functions, or more generally, with functionsassociated with CCR1 expression on a wide range of cell types in amammal, such as a human. Compounds that inhibit CCR1, are particularlyuseful for modulating monocyte, macrophage, lymphocyte, granulocyte, NKcell, mast cells, dendritic cell, and certain immune derived cell (forexample, osteoclasts) function for therapeutic purposes. Accordingly,the present invention is directed to compounds which are useful in theprevention and/or treatment of a wide variety of inflammatory andimmunoregulatory disorders and diseases (see Saeki, et al., CurrentPharmaceutical Design 9:1201-1208 (2003)).

For example, an instant compound that inhibits one or more finctions ofCCR1 may be administered to inhibit (i.e., reduce or prevent)inflammation or cellular infiltration associated with an immunedisorder. As a result, one or more inflammatory processes, such asleukocyte emigration or infiltration, chemotaxis, exocytosis (e.g., ofenzymes, histamine) or inflammatory mediator release, can be inhibited.For example, monocyte infiltration to an inflammatory site (e.g., anaffected joint in arthritis, or into the CNS in MS) can be inhibitedaccording to the present method.

Similarly, an instant compound that promotes one or more functions ofCCR1 is administered to stimulate (induce or enhance) an inflammatoryresponse, such as leukocyte emigration, chemotaxis, exocytosis (e.g., ofenzymes, histamine) or inflammatory mediator release, resulting in thebeneficial stimulation of inflammatory processes. For example, monocytescan be recruited to combat bacterial infections.

Diseases and conditions associated with inflammation, immune disordersand infection can be treated using the method of the present invention.In a preferred embodiment, the disease or condition is one in which theactions of immune cells such monocyte, macrophage, lymphocyte,granulocyte, NK cell, mast cell, dendritic cell, or certain immunederived cell (for example, osteoclasts) are to be inhibited or promoted,in order to modulate the inflammatory or autoimmune response.

In one group of embodiments, diseases or conditions, including chronicdiseases, of humans or other species can treated with modulators ofCCR1, CCR2 or CCR3 function. These diseases or conditions include: (1)allergic diseases such as systemic anaphylaxis or hypersensitivityresponses, drug allergies, insect sting allergies and food allergies,(2) inflammatory bowel diseases, such as Crohn's disease, ulcerativecolitis, ileitis and enteritis, (3) vaginitis, (4) psoriasis andinflammatory dermatoses such as dermatitis, eczema, atopic dermatitis,allergic contact dermatitis, urticaria and pruritus, (5) vasculitis, (6)spondyloarthropathies, (7) scleroderma, (8) asthma and respiratoryallergic diseases such as asthma, allergic asthma, allergic rhinitis,hypersensitivity lung diseases and the like, (9) autoimmune diseases,such as fibromyalagia, scleroderma, ankylosing spondylitis, juvenile RA,Still's disease, polyarticular juvenile RA, pauciarticular juvenile RA,polymyalgia rheumatica, Takuyasu arthritis, rheumatoid arthritis,psoriatic arthritis, osteoarthritis, polyarticular arthritis, multiplesclerosis, systemic lupus erythematosus, type I diabetes, type IIdiabetes, type I diabetes (recent onset), optic neuritis,glomerulonephritis, and the like, (10) graft rejection includingallograft rejection and acute and chronic graft-vs-host disease, (11)fibrosis (e.g. pulmonary fibrosis (i.e. idiopathic pulmonary fibrosis,interstitial pulmonary fibrosis), fibrosis associated with end-stagerenal disease, fibrosis caused by radiation, tubulointerstitialfibrosis, subepithelieal fibrosis, scleroderma (progressive systemicsclerosis), hepatic fibrosis (including that caused by alcoholic orviral hepatitis), primary and secondary cirrhosis), (12) acute andchronic lung inflammation (chronic obstructive pulmonary disease,chronic bronchitis, adult respiratory distress syndrome, respiratorydistress syndrome of infancy, immune complex alveolitis) and (13) otherdiseases in which undesired inflammatory responses or immune disordersare to be inhibited, such as cardiovascular disease includingatherosclerosis, vascular inflammation resulting from tissue transplantor during restenosis (including, but not limited to restenosis followingangioplasty and/or stent insertion), other acute and chronicinflammatory conditions such as myositis, neurodegenerative diseases(e.g., Alzheimer's disease), encephalitis, meningitis, hepatitis,nephritis, sepsis, sarcoidosis, allergic conjunctivitis, otitis,sinusitis, synovial inflammation caused by arthroscopy, hyperuremia,trauma, ischaemia reperfusion injury, nasal polyosis, preeclampsia, orallichen planus, Guillina-Barre syndrome, granulomatous diseases,conditions associated with leptin production, Behcet's syndrome and goutand in wound healing applications (14) immune mediated food allergiessuch as Celiac disease.

In another group of embodiments, diseases or conditions can be treatedwith modulators of CCR1 function. Examples of diseases to be treatedwith modulators of CCR1 function include cancers (both primary andmetastatic) (e.g., multiple myeloma; Hata, H., Leukemia & Lymphoma,2005, 46(7); 967-972), cardiovascular diseases, diseases in whichangiogenesis or neovascularization play a role (neoplastic diseases,retinopathy and macular degeneration), infectious diseases (viralinfections, e.g., HIV infection, and bacterial infections) andimmunosuppressive diseases such as organ transplant conditions and skintransplant conditions. The term “organ transplant conditions” is meantto include bone marrow transplant conditions and solid organ (e.g.,kidney, liver, lung, heart, pancreas or combination thereof) transplantconditions.

Pharmaceutical compositions of this invention can also inhibit theproduction of metalloproteinases and cytokines at inflammatory sites,either directly or indirectly (as a consequence of decreasing cellinfiltration) thus providing benefit for diseases or conditions linkedto these cytokines.

The compounds of the present invention are accordingly useful in theprevention and treatment of a wide variety of inflammatory andimmunoregulatory disorders and diseases.

Depending on the disease to be treated and the subject's condition, thecompounds of the present invention may be administered by oral,parenteral (e.g., intramuscular, intraperitoneal, intravenous, ICV,intracistemal injection or infusion, subcutaneous injection, orimplant), by inhalation spray, nasal, vaginal, rectal, sublingual, ortopical routes of administration and may be formulated, alone ortogether, in suitable dosage unit formulations containing conventionalnon-toxic pharmaceutically acceptable carriers, adjuvants and vehiclesappropriate for each route of administration.

In the treatment or prevention of conditions which require chemokinereceptor modulation an appropriate dosage level will generally be about0.001 to 100 mg per kg patient body weight per day which can beadministered in single or multiple doses. Preferably, the dosage levelwill be about 0.01 to about 25 mg/kg per day; more preferably about 0.05to about 10 mg/kg per day. A suitable dosage level may be about 0.01 to25 mg/kg per day, about 0.05 to 10 mg/kg per day, or about 0.1 to 5mg/kg per day. Within this range the dosage may be 0.005 to 0.05, 0.05to 0.5 or 0.5 to 5.0 mg/kg per day. For oral administration, thecompositions are preferably provided in the form of tablets containing1.0 to 1000 milligrams of the active ingredient, particularly 1.0, 5.0,10.0, 15.0. 20.0, 25.0, 50.0, 75.0, 100.0, 150.0, 200.0, 250.0, 300.0,400.0, 500.0, 600.0, 750.0, 800.0, 900.0, and 1000.0 milligrams of theactive ingredient for the symptomatic adjustment of the dosage to thepatient to be treated. The compounds may be administered on a regimen of1 to 4 times per day, preferably once or twice per day.

It will be understood, however, that the specific dose level andfrequency of dosage for any particular patient may be varied and willdepend upon a variety of factors including the activity of the specificcompound employed, the metabolic stability and length of action of thatcompound, the age, body weight, hereditary characteristics, generalhealth, sex and diet of the subject, as well as the mode and time ofadministration, rate of excretion, drug combination, and the severity ofthe particular condition for the subject undergoing therapy.

Diseases and conditions associated with inflammation, immune disorder,infection and cancer can be treated or prevented with the presentcompounds, compositions, and methods.

The compounds and compositions of the present invention can be combinedwith other compounds and compositions having related utilities toprevent and treat the condition or disease of interest, such asinflammatory or autoimmune disorders, conditions and diseases, includinginflammatory bowel disease, rheumatoid arthritis, osteoarthritis,psoriatic arthritis, polyarticular arthritis, multiple sclerosis,allergic diseases, psoriasis, atopic dermatitis and asthma, and thosepathologies noted above.

For example, in the treatment or prevention of inflammation orautimmunity or for example arthritis associated bone loss, the presentcompounds and compositions may be used in conjunction with ananti-inflammatory or analgesic agent such as an opiate agonist, alipoxygenase inhibitor, such as an inhibitor of 5-lipoxygenase, acyclooxygenase inhibitor, such as a cyclooxygenase-2 inhibitor, aninterleukin inhibitor, such as an interleukin-1 inhibitor, an NMDAantagonist, an inhibitor of nitric oxide or an inhibitor of thesynthesis of nitric oxide, a non steroidal anti-inflammatory agent, or acytokine-suppressing anti-inflammatory agent, for example with acompound such as acetaminophen, aspirin, codeine, fentanyl, ibuprofen,indomethacin, ketorolac, morphine, naproxen, phenacetin, piroxicam, asteroidal analgesic, sufentanyl, sunlindac, tenidap, and the like.Similarly, the instant compounds and compositions may be administeredwith an analgesic listed above; a potentiator such as caffeine, an H2antagonist (e.g., ranitidine), simethicone, aluminum or magnesiumhydroxide; a decongestant such as phenylephrine, phenylpropanolamine,pseudoephedrine, oxymetazoline, ephinephrine, naphazoline,xylometazoline, propylhexedrine, or levo desoxy ephedrine; anantitussive such as codeine, hydrocodone, caramiphen, carbetapentane, ordextromethorphan; a diuretic; and a sedating or non sedatingantihistamine.

Likewise, compounds and compositions of the present invention may beused in combination with other drugs that are used in the treatment,prevention, suppression or amelioration of the diseases or conditionsfor which compounds and compositions of the present invention areuseful. Such other drugs may be administered, by a route and in anamount commonly used therefor, contemporaneously or sequentially with acompound or composition of the present invention. When a compound orcomposition of the present invention is used contemporaneously with oneor more other drugs, a pharmaceutical composition containing such otherdrugs in addition to the compound or composition of the presentinvention is preferred. Accordingly, the pharmaceutical compositions ofthe present invention include those that also contain one or more otheractive ingredients or therapeutic agents, in addition to a compound orcomposition of the present invention. Examples of other therapeuticagents that may be combined with a compound or composition of thepresent invention, either administered separately or in the samepharmaceutical compositions, include, but are not limited to: (a) VLA-4antagonists, (b) corticosteroids, such as beclomethasone,methylprednisolone, betamethasone, prednisone, prenisolone,dexamethasone, fluticasone, hydrocortisone, budesonide, triamcinolone,salmeterol, salmeterol, salbutamol, formeterol; (c) immunosuppressantssuch as cyclosporine (cyclosporine A, Sandimmune®, Neoral®), tacrolirnus(FK-506, Prograf®), rapamycin (sirolimus, Rapamune®) and other FK-506type immunosuppressants, and mycophenolate, e.g., mycophenolate mofetil(CellCept®); (d) antihistamines (H1-histamine antagonists) such asbromopheniramine, chlorpheniramine, dexchloipheniramine, triprolidine,clemastine, diphenhydramine, diphenylpyraline, tripelennamine,hydroxyzine, methdilazine, promethazine, trimeprazine, azatadine,cyproheptadine, antazoline, pheniramine pyrilamine, astemizole,terfenadine, loratadine, cetirizine, fexofenadine,descarboethoxyloratadine, and the like; (e) non steroidal antiasthmatics (e.g., terbutaline, metaproterenol, fenoterol, isoetharine,albuterol, bitolterol and pirbuterol), theophylline, cromolyn sodium,atropine, ipratropium bromide, leukotriene antagonists (e.g.,zafmlukast, montelukast, pranlukast, iralukast, pobilukast andSKB-106,203), leukotriene biosynthesis inhibitors (zileuton, BAY-1005);(f) non steroidal anti-inflammatory agents (NSAIDs) such as propionicacid derivatives (e.g., alminoprofen, benoxaprofen, bucloxic acid,carprofen, fenbufen, fenoprofen, fluprofen, flurbiprofen, ibuprofen,indoprofen, ketoprofen, miroprofen, naproxen, oxaprozin, pirprofen,pranoprofen, suprofen, tiaprofenic acid and tioxaprofen), acetic acidderivatives (e.g., indomethacin, acemetacin, alclofenac, clidanac,diclofenac, fenclofenac, fenclozic acid, fentiazac, furofenac, ibufenac,isoxepac, oxpinac, sulindac, tiopinac, tolmetin, zidometacin andzomepirac), fenamic acid derivatives (e.g., flufenamic acid,meclofenamic acid, mefenamic acid, niflumic acid and tolfenamic acid),biphenylcarboxylic acid derivatives (e.g., diflunisal and flufenisal),oxicams (e.g., isoxicam, piroxicam, sudoxicam and tenoxican),salicylates (e.g., acetyl salicylic acid and sulfasalazine) and thepyrazolones (e.g., apazone, bezpiperylon, feprazone, mofebutazone,oxyphenbutazone and phenylbutazone); (g) cyclooxygenase-2 (COX-2)inhibitors such as celecoxib (Celebrex®) and rofecoxib (Vioxx®); (h)inhibitors of phosphodiesterase type IV (PDE IV); (i) gold compoundssuch as auranofin and aurothioglucose, (j) etanercept (Enbrel®), (k)antibody therapies such as orthoclone (OKT3), daclizumab (Zenapax®),basiliximab (Simulect®) and infliximab (Remicade®), (l) otherantagonists of the chemokine receptors, especially CCR5, CXCR2, CXCR3,CCR2, CCR3, CCR4, CCR7, CX₃CR1 and CXCR6; (m) lubricants or emollientssuch as petrolatum and lanolin, (n) keratolytic agents (e.g.,tazarotene), (o) vitamin D₃ derivatives, e.g., calcipotriene orcalcipotriol (Dovonex®), (p) PUVA, (q) anthralin (Drithrocreme®), (r)etretinate (Tegison®) and isotretinoin and (s) multiple sclerosistherapeutic agents such as interferon β-1β (Betaseron®), interferon(β-1α (Avonex®), azathioprine (Imurek®, Imuran®), glatiramer acetate(Capoxone®), a glucocorticoid (e.g., prednisolone) and cyclophosphamide(t) DMARDS such as methotrexate (u) other compounds such as5-aminosalicylic acid and prodrugs thereof; hydroxychloroquine;D-penicillamine; antimetabolites such as azathioprine, 6-mercaptopurineand methotrexate; DNA synthesis inhibitors such as hydroxyurea andmicrotubule disrupters such as colchicine. The weight ratio of thecompound of the present invention to the second active ingredient may bevaried and will depend upon the effective dose of each ingredient.Generally, an effective dose of each will be used. Thus, for example,when a compound of the present invention is combined with an NSAID theweight ratio of the compound of the present invention to the NSAID willgenerally range from about 1000:1 to about 1:1000, preferably about200:1 to about 1:200. Combinations of a compound of the presentinvention and other active ingredients will generally also be within theaforementioned range, but in each case, an effective dose of each activeingredient should be used.

VI. EXAMPLES

The following examples are offered to illustrate, but not to limit theclaimed invention.

Reagents and solvents used below can be obtained from commercial sourcessuch as Aldrich Chemical Co. (Milwaukee, Wis., USA). ¹H-NMR wererecorded on a Varian Mercury 400 MHz NMR spectrometer. Significant peaksare provided relative to TMS and are tabulated in the order:multiplicity (s, singlet; d, doublet; t, triplet; q, quartet; m,multiplet) and number of protons. Mass spectrometry results are reportedas the ratio of mass over charge, followed by the relative abundance ofeach ion (in parenthesis). In tables, a single m/e value is reported forthe M+H (or, as noted, M−H) ion containing the most common atomicisotopes. Isotope patterns correspond to the expected formula in allcases. Electrospray ionization (ESI) mass spectrometry analysis wasconducted on a Hewlett-Packard MSD electrospray mass spectrometer usingthe HP1100 HPLC equipped with an Agilent Zorbax SB-C18, 2.1×50 mm, 5μcolumn for sample delivery. Normally the analyte was dissolved inmethanol at 0.1 mg/mL and 1 microlitre was infused with the deliverysolvent into the mass spectrometer, which scanned from 100 to 1500daltons. All compounds could be analyzed in the positive ESI mode, usingacetonitrile/water with 1% formic acid as the delivery solvent. Thecompounds provided below could also be analyzed in the negative ESImode, using 2 mM NH₄OAc in acetonitrile/water as delivery system.

The following abbreviations are used in the Examples and throughout thedescription of the invention: NMP, N-methyl-2-pyrrolidinone; HPLC, HighPressure Liquid Chromatography; DMF, Dimethyl formamide; TFA,Trifluoroacetic Acid; THF, Tetrahydrofuran; NCS, N-CHlorosuccinimide;EtOAc, Ethyl acetate; BOC₂O, di-tertbutyl dicarbonate or BOC anhydride;TEA, Triethylamine; BOP,O-Benzotriazol-1-yloxytris(dimethylamino)phosphoniumhexafluorophosphate; PyBOP,(Benzotriazol-1-yloxy)tripyrrolidino-phosphonium Hexafluorophosphate;HATU, O-(7-Azabenzotriazol-1-yl)-1,1,3,3-tetramethyluroniumhexafluorophosphate; rt, room temperature; LDA, Lithium diisopropylamide; DIPEA, Diisopropyl ethylamine; DMA, Dimethylacetamide.

Compounds within the scope of this invention can be synthesized asdescribed below, using a variety of reactions known to the skilledartisan. One skilled in the art will also recognize that alternativemethods may be employed to synthesize the target compounds of thisinvention, and that the approaches described within the body of thisdocument are not exhaustive, but do provide broadly applicable andpractical routes to compounds of interest.

Certain molecules claimed in this patent can exist in differentenantiomeric and diastereomeric forms and all such variants of thesecompounds are claimed.

The detailed description of the experimental procedures used tosynthesize key compounds in this text lead to molecules that aredescribed by the physical data identifying them as well as by thestructural depictions associated with them.

Two regioisomers can sometimes exist for certain compounds of theinvention. For these cases, both regioisomeric types have demonstratedbiological properties and are meant to be within the scope of all theappended claims, whether explicitly drawn or not.

Those skilled in the art will also recognize that during standard workup procedures in organic chemistry, acids and bases are frequently used.Salts of the parent compounds are sometimes produced, if they possessthe necessary intrinsic acidity or basicity, during the experimentalprocedures described within this patent.

Example 12-(4-Chloro-5-methyl-3-(2-oxazolyl)-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone

To a 20 mL vial equipped with a magnetic stirring bar was added 63 mg of4-(4-Fluoro-benzyl)-piperidin-4-ol (0.3 mmol, 1.2 equiv.), 62 mg of(4-Chloro-5-methyl-3-oxazol-2-yl-pyrazol-1-yl)-acetic acid (0.26 mmol,1.0 equiv), and 138 mg of benzotriazol-1-yloxy)tripyrrolidinophosphoniumhexafluorophosphate (0.27 mmol, 1.0 equiv). The reagents were dissolvedin 0.6 mL of DMA and to the resultant solution was added 0.18 mL ofDIPEA (1.0 mmol, 3.8 equiv.). The reaction solution was stirred for 14 hand then poured into 50 mL of EtOAc. The organic extracts were washedwith saturated aq. NaCl (5×10 mL), 1% aq NaOH (1×10 mL), and 0.1 N HCl(1×10 mL). The organic extracts were dried over MgSO₄ and concentratedin vacuo to afford a yellow oil, which was purified by preperative HPLCto afford 34 mg of2-(4-Chloro-5-methyl-3-oxazol-2-yl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone(30% yield): MS (ES) M+H expected=413.2, found 413.2. ¹H NMR (CDCl₃, 400MHz, 23° C.) δ 7.69 (s, 1H), 7.27 (s, 1H), 7.11-7.14 (m, 2H), 6.98-7.03(m, 2H), 5.06 (d, J=16.0 Hz, 1H), 4.93 (d, J=16.0 Hz, 1H), 4.32-4.35 (m,1H), 3.66-3.69 (m, 1H), 3.43-3.50 (m, 1H), 2.96-3.03 (m, 1H), 2.74 (s,2H), 2.30 (s, 3H), 1.55-1.63 (m, 4H).

Example 2 Synthesis of3-(4-Chloro-5-methyl-3-trifluoromethyl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-propan-1-one

The title compound was prepared according to the procedure described inscheme above. LCMS observed for (M+H)⁺: 448.2

Example 3 (E) and (Z)3-(4-Chloro-5-methyl-3-trifluoromethylpyrazol-1-yl)-acrylic acid

To a vial containing 4-Chloro-5-methyl-3-trifluoromethyl-1H-pyrazole(2.83 g, 15.3 mmol) was added MeOH (5 mL) and ethyl propiolate (1.94 g,19.7 mmol) and acetic acid (100 μL). The vial was capped and thereaction mixture was heated to 80° C. for 20 h. After cooling to roomtemperature, the volatiles were removed in vacuo to afford the crudeproducts, which were purified by flash chromatography on silica gel (120g) using gradient elution (0%-75% EtOAc in hexanes over 15 columnvolumes). The fractions containing the E and Z esters were collectedseparately and concentrated in vacuo. Each product was then transferredto a separate vial using THF (10 mL). Both vials were treated with a 1.0N solution of LiOH (10 mL). The vials were heated to 40° C. After 2 h,the solutions were cooled, and each was diluted with water (50 mL). ThepH was adjusted to 1 with 4 N HCl. Each aqueous phase was extracted withEtOAc (2×25 mL). The organic phases were dried over MgSO₄ andconcentrated in vacuo to afford(E)-3-(4-Chloro-5-methyl-3-trifluoromethylpyrazol-1-yl)-acrylic acid(2.21 g, 57% yield) HPLC retention time=2.18 minutes. MS (ES) [M−H]⁻expected 253.0, found 252.9. and(Z)-3-(4-Chloro-5-methyl-3-trifluoromethylpyrazol-1-yl)acrylic acid (749mg, 19% yield). MS (ES) [M−H]⁻ expected 253.0, found 252.9.

Example 4(E)-1-(4-(4-fluorobenzyl)-4-hydroxypiperidin-1-yl)-3-(4-Chloro-3-(trifluoromethyl)-5-methyl-1H-pyrazol-1-yl)prop-2-en-1-one

The title compound was prepared according to the procedure described inEXAMPLE 1 using(E)-3-(4-Chloro-5-methyl-3-trifluoromethylpyrazol-1-yl)-acrylic acid. MS(ES) [M+H]⁺ expected 446.1, found 446.1.

Example 5(Z)-1-(4-(4-fluorobenzyl)-4-hydroxypiperidin-1-yl)-3-(4-Chloro-3-(trifluoromethyl)-5-methyl-1H-pyrazol-1-yl)prop-2-en-1-one

The title compound was prepared according to the procedure described inEXAMPLE 1 using(Z)-3-(4-Chloro-5-methyl-3-trifluoromethylpyrazol-1-yl)-acrylic acid. MS(ES) [M+H]⁺ expected 446.1, found 446.1.

Example 62-(4-Chloro-5-methyl-3-trifluoromethyl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone

To a 20 mL vial equipped with a magnetic stirring bar was added 78 mg of4-(4-Fluoro-benzyl)-piperidin-4-ol (0.37 mmol, 1.0 equiv.), 100 mg of(4-Chloro-5-methyl-3-trifluoromethyl-pyrazol-1-yl)-acetic acid (0.41mmol, 1.1 equiv), and 207 mg of(Benzotriazol-1-yloxy)tripyrrolidinophosphonium hexafluorophosphate(0.40 mmol, 1.1 equiv.). The reagents were dissolved in 3 mL of DMA andto the resultant solution was added 0.26 mL of DIPEA (1.5 mmol, 4.1equiv). The reaction solution was stirred for 5 h and then poured into50 mL of EtOAc. The organic phase was washed with saturated aq. NaCl(5×10 mL), 1% aq NaOH (1×10 mL), and 0.1 N HCl (1×10 mL). The organicphase was then dried over MgSO₄ and concentrated in vacuo to afford ayellow oil, which was purified by preperative HPLC to afford 129 mg of2-(4-Chloro-5-methyl-3-trifluoromethyl-pyrazol-1-yl)-1-[4-(4-fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-ethanone(80% yield): MS (ES) M+H expected=414.2, found 414.2. ¹H NMR (CDCl₃, 400MHz, 23° C.) δ 7.10-7.14 (m, 2H), 6.99-7.03 (m, 2H), 5.00 (d, J=15.6 Hz,1H), 4.86 (d, J=15.6 Hz, 1H), 4.32-4.35 (m, 1H), 3.64-6.68 (m, 1H),3.42-3.50 (m, 1H), 2.96-3.03 (m, 1H), 2.74 (s, 2H), 2.26 (s, 3H),1.55-1.61 (m, 4H), 1.23 (s, 1H).

Example 71-[4-(4-Fluoro-benzyl)-4-hydroxy-piperidin-1-yl]-2-pyrazolo[3,4-b]pyridin-1-ylethanone

The title compound was prepared according to the procedure described inEXAMPLE 1 using pyrazolo[3,4-b]pyridin-1-yl-acetic acid. MS (ES) [M+H]⁺expected 369.2, found 369.2.

Synthesis of Intermediates (1) Preparation of4-(4-Fluoro-benzyl)-piperidine-4-Carboxylic acid ethyl ester

To a solution of LDA in THF (9.5 mL, 1.80 M) at −78° C. (using a dryice/acetone bath), was added a solution of piperidine-1,4-dicarboxylicacid 1-tert-butyl ester 4-ethyl ester (4.0 g, 15.5 mmol) in THF (10 mL)slowly over 20 minutes. After stirring for 1 hour, a solution of benzylchloride (2.36 g, 16.3 mmol) in THF (10 ml) was added dropwise to thereaction mixture over 20 minutes. The resultant mixture was stirred foradditional 1 hour and then warmed to ambient temperature. The reactionmixture was diluted with EtOAc, then washed with water and the organicextracts were dried over Na₂SO₄ to provide the crude product. The crudeproduct with diluted with a solution of HCl in dioxane stirred thenconcentrated to provide 4-(4-Fluoro-benzyl)-piperidine-4-Carboxylic acidethyl ester that was used without further purification for next stepreaction: LCMS Retention time: 0.269 min., LCMS observed for (M+H)⁺:266.

Synthesis of Intermediates (2) Preparation of4-(4-Fluoro-benzyl)-piperidine-4-carbonitrile

To a solution of LDA in THF (9.5 ml, 1.80 M) cooled in a −78° C. dryice/acetone bath, was slowly added 4-Cyano-piperidine-1-Carboxylic acidtert-butyl ester (3.26 g, 15.5 mmol) in THF (10 ml) over 20 minutes.After stirring for 1 hour, a solution of benzyl chloride (2.36 g, 16.3mmol) in THF (10 ml) was added dropwise over 20 minutes. The mixture wasstirred for an additional hour and then warmed to ambient temperature.The reaction mixture was diluted with EtOAc, washed with water, driedover Na₂SO₄, and concentrated in vacuo to provide the crude product. Thecrude product was diluted with HCl-Dioxane and stirred and concentratedto provide 4-(4-Fluoro-benzyl)-piperidine-4-carbonitrile without furtherpurification for next step reaction: LCMS Retention time: 0.265 min.LCMS observed for (M+H)⁺: 219.

Biological Example 1

This example illustrates the evaluation of the biological activityassociated with compounds of interest of the invention.

Materials and Methods

A. Cells

1. CCR1 Expressing Cells

a) THP-1 Cells

THP-1 cells were obtained from ATCC (TIB-202) and cultured as asuspension in RPMI-1640 medium supplemented with 2 mM L-glutamine, 1.5g/L sodium bicarbonate, 4.5 g/L glucose, 10 mM HEPES, 1 mM sodiumpyruvate, 0.05% 2-mercaptoethanol and 10% FBS. Cells were grown under 5%CO₂/95% air, 100% humidity at 37° C. and subcultured twice weekly at 1:5(cells were cultured at a density range of 2×10⁵ to 2×10⁶ cells/mL) andharvested at 1×10⁶ cells/mL. THP-1 cells express CCR1 and can be used inCCR1 binding and functional assays.

b) Isolated Human Monocytes

Monocytes were isolated from human buffy coats using the Miltenyi beadisolation system (Miltenyi, Auburn, Calif.). Briefly, following a Ficollgradient separation to isolate peripheral blood mononuclear cells, cellswere washed with PBS and the red blood cells lysed using standardprocedures. Remaining cells were labeled with anti-CD14 antibodiescoupled to magnetic beads (Miltenyi Biotech, Auburn, Calif.). Labeledcells were passed through AutoMACS (Miltenyi, Auburn, Calif.) andpositive fraction collected. Monocytes express CCR1 and can be used inCCR1 binding and functional assays.

B. Assays

1. Inhibition of CCR1 Ligand Binding

CCR1 expressing cells were centrifuged and resuspended in assay buffer(20 mM HEPES pH 7.1, 140 mM NaCl, 1 mM CaCl₂, 5 mM MgCl₂, and with 0.2%bovine serum albumin) to a concentration of 5×10⁶ cells/mL for THP-1cells and 5×10⁵ for monocytes. Binding assays were set up as follows.0.1 mL of cells (5×10⁵ THP-1 cells/well or 5×10⁴ monocytes) was added tothe assay plates containing the compounds, giving a final concentrationof ˜2-10 μM each compound for screening (or part of a dose response forcompound IC₅₀ determinations). Then 0.1 mL of ¹²⁵I labeled MIP-1α(obtained from Perkin Elmer Life Sciences, Boston, Mass.) or 0.1 mL of¹²⁵I labeled CCL15/leukotactin (obtained as a custom radiolabeling byPerkin Elmer Life Sciences, Boston, Mass.) diluted in assay buffer to afinal concentration of ˜50 pM, yielding ˜30,000 cpm per well, was added(using ¹²⁵I labeled MIP-1α with THP-1 cells and ¹²⁵¹I labeledCCL15/leukotactin with monocytes), the plates sealed and incubated forapproximately 3 hours at 4° C. on a shaker platform. Reactions wereaspirated onto GF/B glass filters pre-soaked in 0.3% polyethyleneimine(PEI) solution, on a vacuum cell harvester (Packard Instruments;Meriden, Conn.). Scintillation fluid (40 μl; Microscint 20, PackardInstruments) was added to each well, the plates were sealed andradioactivity measured in a Topcount scintillation counter (PackardInstruments). Control wells containing either diluent only (for totalcounts) or excess MIP-1α or MIP-1β (1 μg/mL, for non-specific binding)were used to calculate the percent of total inhibition for compound. Thecomputer program Prism from GraphPad, Inc. (San Diego, Calif.) was usedto calculate IC₅₀ values. IC₅₀ values are those concentrations requiredto reduce the binding of labeled MIP-1α to the receptor by 50%. (Forfurther descriptions of ligand binding and other functional assays, seeDairaghi, et al., J. Biol. Chem. 274:21569-21574 (1999), Penfold, etal., Proc. Natl. Acad. Sci. USA. 96:9839-9844 (1999), and Dairaghi, etal,. J. Biol. Chem. 272:28206-28209 (1997)).

2. Calcium Mobilization

To detect the release of intracellular stores of calcium, cells (THP-1or monocytes) were incubated with 3 μM of INDO-1AM dye (MolecularProbes; Eugene, Oreg.) in cell media for 45 minutes at room temperatureand washed with phosphate buffered saline (PBS). After INDO1AM loading,the cells were resuspended in flux buffer (Hank's balanced salt solution(HBSS) and 1% FBS). Calcium mobilization was measured using a PhotonTechnology International spectrophotometer (Photon TechnologyInternational; New Jersey) with excitation at 350 nm and dualsimultaneous recording of fluorescence emission at 400 nm and 490 nm.Relative intracellular calcium levels were expressed as the 400 nm/490nm emission ratio. Experiments were performed at 37° C. with constantmixing in cuvettes each containing 10⁶ cells in 2 mL of flux buffer. Thechemokine ligands may be used over a range from 1 to 100 nM. Theemission ratio was plotted over time (typically 2-3 minutes). Ligandblocking compounds of interest (up to 10 μM) were added at 10 seconds,followed by chemokines at 60 seconds (i.e., MIP-1α; R&D Systems;Minneapolis, Minn.) and control chemokine (i.e., SDF-1α; R&D Systems;Minneapolis, Minn.) at 150 seconds.

3. Chemotaxis Assays

Chemotaxis assays were performed using 5 ┌m pore polycarbonate,polyvinylpyrrolidone-coated filters in 96-well chemotaxis chambers(Neuroprobe; Gaithersburg, Md.) using chemotaxis buffer (Hank's balancedsalt solution (HBSS) and 1% FBS). CCR1 chemokine ligands (i.e., MIP-1α,CCL15/Leukotactin; R&D Systems; Minneapolis, Minn.) are use to evaluatecompound mediated inhibition of CCR1 mediated migration. Otherchemokines (i.e., SDF-1α; R&D Systems; Minneapolis, Minn.) are used asspecificity controls. The lower chamber was loaded with 29 μl ofchemokine (i.e., 0.1 nM CCL15/Leukotactin) and varying amounts ofcompound; the top chamber contained 100,000 THP-1 or monocyte cells in20 μl. The chambers were incubated 1-2 hours at 37° C., and the numberof cells in the lower chamber quantified either by direct cell counts infive high powered fields per well or by the CyQuant assay (MolecularProbes), a fluorescent dye method that measures nucleic acid content andmicroscopic observation.

C. Identification of Inhibitors of CCR1

1. Assay

To evaluate small organic molecules that prevent the receptor CCR1 frombinding ligand, an assay was employed that detected radioactive ligand(i.e, MIP-1α or CCL15/Leukotactin) binding to cells expressing CCR1 onthe cell surface (for example, THP-1 cells or isolated human monocytes).For compounds that inhibited binding, whether competitive or not, fewerradioactive counts are observed when compared to uninhibited controls.

THP-1 cells and monocytes lack other chemokine receptors that bind thesame set of chemokine ligands as CCR1 (i.e., MIP-1α, MPIF-1,Leukotactin, etc.). Equal numbers of cells were added to each well inthe plate. The cells were then incubated with radiolabeled MIP-1α.Unbound ligand was removed by washing the cells, and bound ligand wasdetermined by quantifying radioactive counts. Cells that were incubatedwithout any organic compound gave total counts; non-specific binding wasdetermined by incubating the cells with unlabeled ligand and labeledligand. Percent inhibition was determined by the equation:%  inhibition = (1 − [(sample  cpm) − (nonspecific  cpm)]/  [(total  cpm) − (nonspecific  cpm)]) × 100.

2. Dose Response Curves

To ascertain a compound of interest's affinity for CCR1 as well asconfirm its ability to inhibit ligand binding, inhibitory activity wastitered over a 1×10⁻¹⁰ to 1×10⁻⁴ M range of compound concentrations. Inthe assay, the amount of compound was varied; while cell number andligand concentration were held constant.

3. CCR1 Functional Assays

CCR1 is a seven transmembrane, G-protein linked receptor. A hallmark ofsignaling cascades induced by the ligation of some such receptors is thepulse-like release of calcium ions from intracellular stores. Calciummobilization assays were performed to determine if the CCR1 inhibitorycompounds of interest were able to also block aspects of CCR1 signaling.Compounds of interest able to inhibit ligand binding and signaling withan enhanced specificity over other chemokine and non-chemokine receptorswere desired.

Calcium ion release in response to CCR1 chemokine ligands (i.e., MIP-1α,MPIF-1, Leukotactin, etc.) was measured using the calcium indicatorINDO-1. THP-1 cells or monocytes were loaded with INDO-1/AM and assayedfor calcium release in response to CCR1 chemokine ligand (i.e., MIP-1α)addition. To control for specificity, non-CCR1 ligands, specificallybradykinin, was added, which also signals via a seven transmembranereceptor. Without compound, a pulse of fluorescent signal will be seenupon MIP-1α addition. If a compound specifically inhibits CCR1-MIP-1αsignaling, then little or no signal pulse will be seen upon MIP-1αaddition, but a pulse will be observed upon bradykinin addition.However, if a compound non-Specifically inhibits signaling, then nopulse will be seen upon both MIP-1α and bradykinin addition.

One of the primary functions of chemokines is their ability to mediatethe migration of chemokine receptor-expressing cells, such as whiteblood cells. To confirm that a compound of interest inhibited not onlyCCR1 specific binding and signaling (at least as determined by calciummobilization assays), but also CCR1 mediated migration, a chemotaxisassay was employed. THP-1 myelomonocytic leukemia cells, which resemblemonocytes, as wells as freshly isolated monocytes, were used as targetsfor chemoattraction by CCR1 chemokine ligands (i.e., MIP-1α,CCL15/leukotactin). Cells were place in the top compartment of amicrowell migration chamber, while MIP-1α (or other potent CCR1chemokine ligand) and increasing concentrations of a compound ofinterest was loaded in the lower chamber. In the absence of inhibitor,cells will migrate to the lower chamber in response to the chemokineagonist; if a compound inhibited CCR1 function, then the majority ofcells will remain in the upper chamber. To ascertain a compound ofinterest's affinity for CCR1 as well as to confirm its ability toinhibit CCR1 mediated cell migration, inhibitory activity was titeredover a 1×10⁻¹⁰ to 1×10⁴ M range of compound concentrations in thischemotaxis assay. In this assay, the amount of compound was varied;while cell number and chemokine agonist concentrations were heldconstant. After the chemotaxis chambers were incubated 1-2 hours at 37°C., the responding cells in the lower chamber were quantified bylabeling with the CyQuant assay (Molecular Probes), a fluorescent dyemethod that measures nucleic acid content, and by measuring with aSpectrafluor Plus (Tecan). The computer program Prism from GraphPad,Inc. (San Diego, Calif.) was used to calculate IC₅₀ values. IC₅₀ valuesare those compound concentrations required to inhibit the number ofcells responding to a CCR1 agonist by 50%.

4. In Vivo Efficacy

a) Rabbit Model of Destructive Joint Inflammation

To study the effects of compounds of interest on inhibiting theinflammatory response of rabbits to an intra-articular injection of thebacterial membrane component lipopolysaccharide (LPS), a rabbit model ofdestructive joint inflammation is used. This study design mimics thedestructive joint inflammation seen in arthritis. Intra-articularinjection of LPS causes an acute inflammatory response characterized bythe release of cytokines and chemokines, many of which have beenidentified in rheumatoid arthritic joints. Marked increases inleukocytes occur in synovial fluid and in synovium in response toelevation of these chemotactic mediators. Selective antagonists ofchemokine receptors have shown efficacy in this model (see Podolin, etal., J Immunol. 169(11):6435-6444 (2002)).

A rabbit LPS study is conducted essentially as described in Podolin, etal. ibid., female New Zealand rabbits (approximately 2 kilograms) aretreated intra-articularly in one knee with LPS (10 ng) together witheither vehicle only (phosphate buffered saline with 1% DMSO) or withaddition of a compound of interest (dose 1=50 μM or dose 2=100 μM) in atotal volume of 1.0 mL. Sixteen hours after the LPS injection, knees arelavaged and cells counts are performed. Beneficial effects of treatmentwere determined by histopathologic evaluation of synovial inflammation.Inflammation scores are used for the histopathologic evaluation:1-minimal, 2-mild, 3-moderate, 4-moderate-marked.

b) Evaluation of a Compound of Interest in a Rat Model of CollagenInduced Arthritis

A 17 day developing type II collagen arthritis study is conducted toevaluate the effects of a compound of interest on arthritis inducedclinical ankle swelling. Rat collagen arthritis is an experimental modelof polyarthritis that has been widely used for preclinical testing ofnumerous anti-arthritic agents (see Trentham, et al., J. Exp. Med.146(3):857-868 (1977), Bendele, et al., Toxicologic Pathol. 27:134-142(1999), Bendele, et al., Arthritis Rheum. 42:498-506 (1999)). Thehallmarks of this model are reliable onset and progression of robust,easily measurable polyarticular inflammation, marked cartilagedestruction in association with pannus formation and mild to moderatebone resorption and periosteal bone proliferation.

Female Lewis rats (approximately 0.2 kilograms) are anesthetized withisoflurane and injected with Freund's Incomplete Adjuvant containing 2mg/mL bovine type II collagen at the base of the tail and two sites onthe back on days 0 and 6 of this 17 day study. A compound of interest isdosed daily in a sub-cutaneous manner from day 0 till day 17 at aefficacious dose. Caliper measurements of the ankle joint diameter weretaken, and reducing joint swelling is taken as a measure of efficacy.

In the table below, structures and activity are provided forrepresentative compounds described herein. Activity is provided asfollows for either the chemotaxis assay or binding assay as describedabove: ++, IC₅₀≧25000 nM; +++, 1000 nM<IC₅₀<25000 nM; and ++++,IC₅₀<1000 nM. TABLE 2 Structure

All patents, patent applications, publications and presentationsreferred to herein are incorporated by reference in their entirety. Anyconflict between any reference cited herein and the teaching of thisspecification is to be resolved in favor of the latter. Similarly, anyconflict between an art-recognized definition of a word or phrase and adefinition of the word or phrase as provided in this specification is tobe resolved in favor of the latter.

1. A compound having formula I

and pharmaceutically acceptable salts and N-oxides thereof; wherein eachR¹ is independently selected from the group consisting of C₁₋₈ alkyl,C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl, —CO₂R^(a), —SO₂R^(a), —OR^(a),—COR^(a), —CONR^(a)R^(b), —NR^(a)R^(b), —NR^(a)COR^(b), —CONR^(a)R^(b),—NR^(a)S(O)₂R^(b), S(O)₂NR^(a)R^(b), S(O)₂R^(a), —X¹CO₂R^(a),—X¹SO₂R^(a), —X¹OR^(a), —X¹COR^(a), —X¹CONR^(a)R^(b), —X¹NR^(a)R^(b),—X¹NR^(a)COR^(b), —X¹CONR^(a)R^(b), X¹NR^(a)S(O)₂R^(b),X¹S(O)₂NR^(a)R^(b) and X¹S(O)₂R^(a), wherein X¹ is C₁₋₄ alkylene, C₂₋₄alkenylene, or C₂₋₄ alkynylene, and each R^(a) and R^(b) isindependently selected from the group consisting of hydrogen, C₁₋₈alkyl, C₁₋₈ haloalkyl and C₃₋₆ cycloalkyl, wherein R^(a) and R^(b) whenattached to the same nitrogen atom may be combined to form a 4- to7-membered ring having from 0-2 additional heteroatoms as ring membersselected from N, O or S; wherein any two R¹ substituents attached to thesame or different carbon atoms are optionally cyclized to form a 3- to7-membered ring; and wherein the aliphatic portions of each R¹substituent is optionally substituted with from one to three membersselected from the group consisting of —OH, —OR^(m), —OC(O)NHR^(m),—OC(O)N(R^(m))₂, —SH, —SR^(m), —S(O)R^(m), —S(O)₂R^(m), —SO₂NH₂,—S(O)₂NHR^(m), —S(O)₂N(R^(m))₂, —NHS(O)₂R^(m), —NR^(m)S(O)₂R^(m),—C(O)NH₂, —C(O)NHR^(m), —C(O)N(R^(m))₂, —C(O)R^(m), —NHC(O)R^(m),—NR^(m)C(O)R^(m), —NHC(O)NH₂, —NR^(m)C(O)NH₂, —NR^(m)C(O)NHR^(m),—NHC(O)NHR^(m), —NR^(m)C(O)N(R^(m))₂, —NHC(O)N(R^(m))₂, —CO₂H,—CO₂R^(m), —NHCO₂R^(m), —NR^(m)CO₂R^(m), —CN, —NO₂, —NH₂, —NHR^(m),—N(R^(m))₂, —NR^(m)S(O)NH₂ and —NR^(m)S(O)₂NHR^(m), wherein each R^(m)is independently an unsubstituted C₁₋₆ alkyl; the subscript m is aninteger from 0-4; R^(2a), R^(2b), R^(2c), R^(2d) and R^(2e) are eachindependently selected from the group consisting of hydrogen, halogen,—OR^(c), —OC(O)R^(c), —NR^(c)R^(d), —SR^(c), —R^(e), —CN, —NO₂,—CO₂R^(c), —CONR^(c)R^(d), —C(O)R^(c), —OC(O)NR^(c)R^(d),—NR^(d)C(O)R^(c), —NR^(d)C(O)₂R^(e), —NR^(c)—C(O)NR^(c)R^(d),—NH—C(NH₂)═NH, —NR^(e)C(NH₂)═NH, —NH—C(NH₂)═NR^(e), —NH—C(NHR^(e))═NH,—NR^(e)C(NHR^(e))═NH, —NR^(e)C(NH₂)═NR^(e), —NH—C(NHR^(e))═NR^(e),—NH—C(NR^(e)R^(e))═NH, —S(O)R^(e), —S(O)₂R^(e), —NR^(c)S(O)₂R^(e),—S(O)₂NR^(c)R^(d), —N₃, —C(NOR^(c))R^(d), —C(NR^(c)W)═NW,—N(W)C(R^(c))═NW, —NR^(c)C(S)NR^(c)R^(d), —X²C(NOR^(c))R^(d),—X²C(NR^(c)W)═NW, —X²N(W)C(R^(c))═NW, —X²NR^(c)C(S)NR^(c)R^(d),—X²OR^(c), —O—X²OR^(c), —X²OC(O)R^(c), —X²NR^(c)R^(d), —O—X²NR^(c)R^(d),—X²SR^(c), —X²CN, —X²NO₂, —X²CO₂R^(c), —O—X²CO₂R^(c), —X²CONR^(c)R^(d),—O—X²CONR^(c)R^(d), —X²C(O)R^(c), —X²OC(O)NR^(c)R^(d),—X²NR^(d)C(O)R^(c), —X²NR^(d)C(O)₂R^(e), —X²NR^(c)C(O)NR^(c)R^(d),—X²NH—C(NH₂)═NH, —X²NR^(e)C(NH₂)═NH, —X²NH—C(NH₂)═NR^(e),—X²NH—C(NHR^(e))═NH, —X²S(O)R^(e), —X²S(O)₂R^(e), —X²NR^(c)S(O)₂R^(e),—X²S(O)₂NR^(c)R^(d), —X²N₃, —NR^(d)—X²OR^(c), —NR^(d)—X²NR^(c)R^(d),—NR^(d)—X²CO₂R^(c), and —NR^(d)—X²CONR^(c)R^(d), wherein W is selectedfrom R^(c), —CN, —CO₂R^(e) and —NO₂, and wherein X² is C₁₋₄ alkylene,C₂₋₄ alkenylene, C₂₋₄ alkynylene or C₁₋₄ heteroalkylene; and each R^(c)and R^(d) is independently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, or optionallyR^(c) and R^(d) when attached to the same nitrogen atom can be combinedto form a five or six-membered ring having from 0 to 2 additionalheteroatoms as ring members selected from N, O and S; and each R^(e) isindependently selected from the group consisting of C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl,heteroaryl, aryl-C₁₋₄ alkyl, and aryloxy-C₁₋₄ alkyl, and each of R^(c),R^(d) and R^(e) is optionally further substituted with from one to threemembers selected from the group consisting of —OH, —OR^(n),—OC(O)NHR^(n), —OC(O)N(R^(n))₂, —SH, —SR^(n), —S(O)R^(n), —S(O)₂R^(n),—SO₂NH₂, —S(O)₂NHR^(n), —S(O)₂N(R^(n))₂, —NHS(O)₂R^(n),—NR^(n)S(O)₂R^(n), —C(O)NH₂, —C(O)NHR^(n), —C(O)N(R^(n))₂, —C(O)R^(n),—NHC(O)R^(n), —NR^(n)C(O)R^(n), —NHC(O)NH₂, —NR^(n)C(O)NH₂,—NR^(n)C(O)NHR^(n), —NHC(O)NHR^(n), —NR^(n)C(O)N(R^(n))₂,—NHC(O)N(R^(n))₂, —CO₂H, —CO₂R^(n), —NHCO₂R^(n), —NR^(n)CO₂R^(n), —CN,—NO₂, —NH₂, —NHR^(n), —N(R^(n))₂, —NR^(n)S(O)NH₂ and—NR^(n)S(O)₂NHR^(n), wherein each R^(n) is independently anunsubstituted C₁₋₆ alkyl and at least one of R^(2a), R^(2b), R^(2c),R^(2d) and R^(2e) is other than hydrogen; B represents a heteroaryl ringor ring system having 1-4 heteroatoms as ring members selected from thegroup consisting of N, O and S; wherein B is substituted with 0 to 5 R³substitutents, and at each occurrence, R³ is independently selected fromthe group consisting of halogen, —OR^(f), —OC(O)R^(f), —NR^(f)R^(g),—SR^(f), —R^(h), —CN, —NO₂, —CO₂R^(f), —CONR^(f)R^(g), —C(O)R^(f),—OC(O)NR^(f)R^(g), —NR^(g)C(O)R^(f), —NR^(g)C(O)₂R^(h),—NR^(f)—C(O)NR^(f)R^(g), —NH—C(NH₂)═NH, —NR^(h)C(NH₂)═NH,—NH—C(NH₂)═NR^(h), —NH—C(NHR^(h))═NH, —S(O)R^(h), —S(O)₂R^(h),—NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —N₃,—C(O)NR^(f)S(O)R^(h), —C(O)NR^(f)S(O)₂R^(h), —P═O(OR^(f))(OR^(g)),—X³OR^(f), —X³OC(O)R^(f), —X³NR^(f)R^(g), —X³SR^(f), —X³CN, —X³NO₂,—X³CO₂R^(f), —X³CONR^(f)R^(g), —X³C(O)R^(f), —X³OC(O)NR^(f)R^(g),—X³NR^(g)C(O)R^(f), —X³NR^(g)C(O)₂R^(h), —X³NR^(f)—C(O)NR^(f)R^(g),—X³NH—C(NH₂)═NH, —X³NR^(h)C(NH₂)═NH, —X³NH—C(NH₂)═NR^(h),—X³NH—C(NR^(h))═NH, —X³S(O)R^(h), —X³S(O)₂R^(h), —X³NR^(f)S(O)₂R^(h),—X³S(O)₂NR^(f)R^(g), —X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)R^(h),—X³P═O(OR^(f))(OR^(g)), —Y, —X³Y and —X³N₃, wherein Y is a five toten-membered aryl, heteroaryl or heterocycloalkyl ring, optionallysubstituted with from one to three substitutents selected from the groupconsisting of halogen, —OR^(f), —NR^(f)R^(g), —R^(h), —SR^(f), —CN,—NO₂, —CO₂R^(f), —CONR^(f)R^(g), —C(O)R^(f), —NR^(g)C(O)R^(f),—S(O)R^(h), —S(O)₂R^(h), —NR^(f)S(O)₂R^(h), —S(O)₂NR^(f)R^(g),—C(O)NR^(f)S(O)₂R^(h), —C(O)NR^(f)S(O)R^(h), —P═O(OR^(f))(OR^(g)),—X³OR^(f), —X³NR^(f)R^(g), —X³NR^(f)S(O)₂R^(h), —X³CO₂R^(f),—X³CONR^(f)R^(g), —X³C(O)R^(f), —X³NR^(g)C(O)R^(f), —X³S(O)R^(h),—X³S(O)₂R^(h), —X³C(O)NR^(f)S(O)₂R^(h), —X³C(O)NR^(f)S(O)₂R^(h),—X³P═O(OR)(OR^(g)) and —X³S(O)₂NR^(f)R^(g), any two R³ substituents onadjacent atoms may be optionally combined to form a 5- to 6-memberedring optionally having 1-2 heteroatom ring members selected from N, Oand S; each X³ is independently selected from the group consisting ofC₁₋₄ alkylene, C₂₋₄ alkenylene, C₂₋₄ alkynylene and C₁₋₄ heteroalkylene;each R^(f) and R^(g) is independently selected from hydrogen, C₁₋₈alkyl, C₁₋₈ haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl,aryl, heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl; and each R^(h)is independently selected from the group consisting of C₁₋₈ alkyl, C₁₋₈haloalkyl, C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl,heteroaryl, aryl-C₁₋₄ alkyl and aryloxy-C₁₋₄ alkyl, wherein thealiphatic portions of X³, R^(f), R^(g) and R^(h) are optionally furthersubstituted with from one to three members selected from the groupconsisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂, —SH,—SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)₂NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R^(o), —NR^(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R^(o))₂, —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein R^(o) isunsubstituted C₁₋₆ alkyl, and B is other than pyridine, quinoline andisoquinoline; L¹ is a linking group selected from the group consistingof C₁₋₄ alkylene, C₂₋₄ alkenylene and C₁₋₄ heteroalkylene, each of whichis optionally substituted with from 1 to 4 R⁴ groups wherein R⁴ at eachoccurrence is independently selected from the group consisting ofphenyl, —R^(k), —X⁴OR^(i), —X⁴OC(O)R^(i), —X⁴NR^(i)R^(j), —X⁴SR^(i),—X⁴CN or —X⁴NO₂, wherein X⁴ is C₁₋₄ alkylene, and each R^(i) and R^(j)is independently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl,C₃₋₆ cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl, and each R^(k) is independently selectedfrom the group consisting of C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl; A is a substituent selected from thegroup consisting of hydrogen, aryl, heteroaryl, aryl-X⁵—,heteroaryl-X⁵—, Z or Z-X⁵—, wherein Z is selected from the groupconsisting of —OR^(q), —OC(O)R^(q), —NR^(q)R^(r), —SR^(q), —R^(s), —CN,—NO₂, —CO₂R^(q), —CONR^(q)R^(r), —C(O)R^(q), —OC(O)NR^(q)R^(r),—NR^(r)C(O)R^(q), —NR^(r)C(O)₂R^(s), —NR^(q)—C(O)NR^(q)R^(r),—NH—C(NH₂)═NH, —NR^(s)C(NH₂)═NH, —NH—C(NH₂)═NR^(s), —NH—C(NHR^(s))═NH,—NR^(s)C(NHR^(s))═NH, —NR^(s)C(NH₂)═NR^(s), —NH—C(NHR^(s))═NR^(s),—NH—C(NR^(s)R^(s))═NH, —S(O)R^(s), —S(O)₂R^(s), —NR^(q)S(O)₂R^(s),—S(O)₂NR^(q)R^(r), —N₃, —C(NOR^(q))R^(r), —C(NR^(q)W)═NW,—N(W)C(R^(q))═NW, —NR^(q)C(S)NR^(q)R^(r), —C(NOR^(q))R^(r),—C(NR^(q)W)═NW, —N(W)C(R^(q))═NW, —NR^(q)C(S)NR^(q)R^(r) and—NR^(q)S(O)NR^(q)R^(r), wherein W is selected from R^(q), —CN, —CO₂R^(s)and —NO₂, and wherein X⁵ is C₁₋₄ alkylene, C₁₋₄ heteroalkylene, C₂₋₆alkenylene and C₂₋₆ alkynylene; and each R^(q) and R^(r) isindependently selected from hydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl, or optionally R^(q) and R^(r) whenattached to the same nitrogen atom can be combined with the nitrogenatom to form a four-, five- or six-membered ring having from 0 to 2additional heteroatoms as ring members; and each R^(s) is independentlyselected from the group consisting of C₁₋₈ alkyl, C₁₋₈ haloalkyl, C₃₋₆cycloalkyl, C₂₋₈ alkenyl, C₂₋₈ alkynyl, aryl, heteroaryl, aryl-C₁₋₄alkyl, and aryloxy-C₁₋₄ alkyl, and each of X⁵, R^(q), R^(r) and R^(s) isoptionally further substituted with from one to three members selectedfrom the group consisting of —OH, —OR^(t), —OC(O)NHR^(t),—OC(O)N(R^(t))₂, —SH, —SR^(t), —S(O)R^(t), —S(O)₂R^(t), —SO₂NH₂,—S(O)₂NHR^(t), —S(O)₂N(R^(t))₂, —NHS(O)₂R^(t), —NR^(t)S(O)₂R^(t),—C(O)NH₂, —C(O)NHR^(t), —C(O)N(R^(t))₂, —C(O)R^(t), —NHC(O)R^(t),—NR^(t)C(O)R^(t), —NHC(O)NH₂, —NR^(t)C(O)NH₂, —NR^(t)C(O)NHR^(t),—NHC(O)NHR^(t), —NR^(t)C(O)N(R^(t))₂, —NHC(O)N(R^(t))₂, —CO₂H,—CO₂R^(t), —NHCO₂R^(t), —NR^(t)CO₂R^(t), —CN, —NO₂, —NH₂, —NHR^(t),—N(R^(t))₂, —NR^(t)S(O)NH₂ and —NR^(t)S(O)₂NHR^(t), wherein each R^(t)is independently an unsubstituted C₁₋₆ alkyl; X is a linking groupselected from the group consisting of —C(R^(u))₂—, —O—, and —NR^(n),wherein each R^(u) is independently selected from the group consistingof hydrogen, C₁₋₈ alkyl, C₁₋₈ haloalkyl and C₃₋₆ cycloalkyl, and isoptionally further substituted with from one to three members selectedfrom the group consisting of —OH, —OR^(v), —OC(O)NHR^(v),—OC(O)N(R^(v))₂, —SH, —SR^(v), —S(O)R^(v), —S(O)₂R^(v), —SO₂NH₂,—S(O)₂NHR^(v), —S(O)₂N(R^(v))₂, —NHS(O)₂R^(v), —NR^(v)S(O)₂R^(v),—C(O)NH₂, —C(O)NHR^(v), —C(O)N(R^(v))₂, —C(O)R^(v), —NHC(O)R^(v),—NR^(t)C(O)R^(v), —NHC(O)NH₂, —NR^(v)C(O)NH₂, —NR^(v)C(O)NHR^(v),—NHC(O)NHR^(v), —NR^(v)C(O)N(R^(v))₂, —NHC(O)N(R^(v))₂, —CO₂H,—CO₂R^(v), —NHCO₂R^(v), —NR^(v)CO₂R^(v), —CN, —NO₂, —NH₂, —NHR^(v),—N(R^(v))₂, —NR^(v)S(O)NH₂ and —NR^(v)S(O)₂NHR^(v), wherein each R^(v)is independently an unsubstituted C₁₋₆ alkyl or C₁₋₆ haloalkyl.
 2. Thecompound of claim 1, wherein B is selected from the group consisting of:i) 5- to 6-membered heteroaryl ring having from 1-4 heteroatoms as ringmembers selected from the group consisting of N, O and S, and issubstituted with 1-4 R³ substituents; and ii) 8- to 10-membered bicyclicheteroaryl ring having from 1-4 heteroatoms as ring members selectedfrom the group consisting of N, O and S, and is substituted with 1-4 R³substituents.
 3. The compound of claim 2, wherein B is attached to theremainder of the molecule through a carbon atom.
 4. The compound ofclaim 2, wherein B is attached to the remainder of the molecule througha nitrogen atom.
 5. The compound of claim 2, wherein B is an optionallysubstituted member selected from the group consisting of pyrimidinyl,pyrazinyl and pyridazinyl.
 6. The compound of claim 2, wherein B is anoptionally substituted member selected from the group consisting oftetrazolyl, triazolyl, imidazolyl, pyrrolyl, pyrazolyl, oxazolyl,thiazolyl, isothiazolyl, isoxazolyl, furanyl, oxadiazolyl and thienyl.7. The compound of claim 2, wherein B is an optionally substitutedmember selected from the group consisting of benzimidazolyl,benzopyrazolyl, benzotriazolyl, benzotetrazolyl, benzooxazolyl,benzoisoxazolyl, benzooxadiazolyl, benzothienyl, benzoisothiazolyl,benzofuranyl, quinazolinyl, quinoxalinyl, naphthyridinyl,pyrimidinopyridinyl, pyridazinopyridinyl, pyrazinopyridinyl,pyridinopyrimidinyl, pyrimidinopyrimidinyl, pyridazinopyrimidinyl,pyrazinopyrimidinyl, pyridinopyridazinyl, pyrimidinopyridazinyl,pyridazinopyridazinyl, pyrazinopyridazinyl, pyridinopyrazinyl,pyrimidinopyrazinyl, pyridazinopyrazinyl, pyrazinopyrazinyl,pyridinoimidazolyl, purinyl, pyridazinoimidazolyl, pyrazinoimidazolyl,pyridinooxazolyl, pyrimidinooxazolyl, pyridazinooxazolyl,pyrazinooxazolyl, pyridinoisoxazolyl, pyrimidinoisoxazolyl,pyridazinoisoxazolyl, pyrazinoisoxazolyl, pyridinooxathiadiazolyl,pyrimidinooxathiadiazolyl, pyridazinooxathiadiazolyl,pyrazinooxathiadiazolyl, pyridinooxathiazolyl, pyrimidinooxathiazolyl,pyridazinooxathiazolyl, pyrazinooxathiazolyl, pyridinothiazolyl,pyrimidinothiazolyl, pyridazinothiazolyl, pyrazinothiazolyl,pyridinopyrazolyl, pyrimidinopyrazolyl, pyridazinopyrazolyl,pyrazinopyrazolyl, pyridinopyrrolyl, pyrimidinopyrrolyl,pyridazinopyrrolyl and pyrazinopyrrolyl.
 8. The compound of claim 1,wherein B has the formula selected from the group set forth in FIG. 1,wherein the subscript p is an integer from 0-5.
 9. The compound of claim1, wherein B has the formula selected from the group set forth in FIG.2, wherein the subscript p is an integer from 0-3.
 10. The compound ofclaim 1, wherein B is pyrazolyl and is optionally substituted with 1-3R³.
 11. The compound of claim 10, wherein the pyrazolyl group is linkedto the remainder of the molecule via a nitrogen atom ring member. 12.The compound of claim 1, wherein B has the formula selected from thegroup set forth in FIGS. 3 and 4, wherein the ring vertices a, b, c andd are each independently selected from the group consisting of CH, CR³,N and NO; the ring vertices e, f, g and h are each independentlyselected from the group consisting of CH₂, CHR³, C(R³)₂, S, SO, SO₂, NH,NR³ and O; and the subscript p is an integer from 0-3.
 13. The compoundof claim 1, wherein A is selected from the group consisting of aryl,heteroaryl, aryl-X⁵—, heteroaryl-X⁵—, Z or Z-X⁵—, wherein Z is selectedfrom the group consisting of —OR^(q), —OC(O)R^(q), —NR^(q)R^(r),—SR^(q), —R^(s), —CN, —NO₂, —CO₂R^(q); —CONR^(q)R^(r), —C(O)R^(q),—OC(O)NR^(q)R^(r), —NR^(r)C(O)R^(q), —NR^(r)C(O)₂R^(s),—NR^(q)—C(O)NR^(q)R^(r), —NH—C(NH₂)═NH, —NR^(s)C(NH₂)═NH,—NH—C(NH₂)═NR^(s), —NH—C(NHR^(s))═NH, —NR^(s)C(NHR^(s))═NH,—NR^(s)C(NH₂)═NR^(s), —NH—C(NHR^(s))═NR^(s), —NH—C(NR^(s)R^(s))═NH,—S(O)R^(s), —S(O)₂R^(s), —NR^(q)S(O)₂R^(s), —S(O)₂NR^(q)R^(r), —N₃,—C(NOR^(q))R^(r), —C(NR^(q)W)═NW, —N(W)C(R^(q))═NW,—NR^(q)C(S)NR^(q)R^(r), —C(NOR^(q))R^(r), —C(NR^(q)W)═NW,—N(W)C(R^(q))═NW, —NR^(q)C(S)NR^(q)R^(r) and —NR^(q)S(O)NR^(q)R^(r). 14.The compound of claim 1, wherein L¹ is selected from the groupconsisting of direct bond, optionally substituted C₂ alkenylene, —CH₂—,—CH₂O—, —CH₂NR^(k)— and —CH₂NH—.
 15. The compound of claim 1, wherein L¹is —CH₂—.
 16. The compound of claim 1, wherein each R³ is independentlyselected from the group consisting of hydrogen, halogen, —OR^(f),—NR^(f)R^(g), —C(O)R^(f), —C(O)OR^(f), —S(O)R^(f), —S(O)₂R^(f),—S(O)₃R^(f), —S(O)₃R^(h), —X³C(O)₂R^(f), X³S(O)₃R^(f),—S(O)₂NR^(f)R^(g), —X³S(O)₂NR^(f)R^(g), —R^(h), —CN, X³NR^(f)R^(g),NR^(g)C(O)R^(f), X³N₃ and Y, wherein Y is a five to six-membered aryl, afive or six-membered heteroaryl ring or a three to eight-memberedheterocycloalkyl ring selected from the group consisting ofhomopiperidinyl, morpholinyl, thiomorpholinyl, pyrrolidinyl,piperidinyl, azetidinyl, pyranyl, tetrahydrofuranyl, piperazinzyl,phenyl, pyridyl, oxazolyl, pyrimidinyl, oxadiazolyl, imidazolyl,pyrazolyl, triazolyl and thiazolyl, optionally substituted with from oneto three substitutents selected from the group consisting of halogen,—OR, —NR^(f)R^(g), —R^(h), —CN, wherein each R^(f) and R^(g) isindependently selected from hydrogen, C₁₋₆ alkyl, C₁₋₆haloalkyl and C₃₋₆cycloalkyl, and each R^(h) is independently selected from the groupconsisting of C₁₋₆ alkyl, C₁₋₆ haloalkyl and C₃₋₆ cycloalkyl, whereinthe aliphatic portions of R^(f), R^(g) and R^(h) are optionally furthersubstituted with from one to three members selected from the groupconsisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂, —SH,—SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)₂NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R^(o), —NR^(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R^(o))₂, —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein R^(o) isunsubstituted C₁₋₆ alkyl.
 17. The compound of claim 16, wherein each R³is independently selected from the group consisting of hydrogen,halogen, chloro, fluoro, bromo, oxazolyl, pyridyl, pyrimidinyl,oxadiazolyl, thiazolyl, —R^(h) or cyano.
 18. The compound of claim 16,wherein each R³ is independently selected from the group consisting ofhalogen, C₁₋₄ alkyl and C₁₋₄ haloalkyl, wherein the aliphatic portionsare optionally substituted with from one to three members selected fromthe group consisting of —OH, —OR^(o), —OC(O)NHR^(o), —OC(O)N(R^(o))₂,—SH, —SR^(o), —S(O)R^(o), —S(O)₂R^(o), —SO₂NH₂, —S(O)₂NHR^(o),—S(O)₂N(R^(o))₂, —NHS(O)₂R^(o), —NR^(o)S(O)₂R^(o), —C(O)NH₂,—C(O)NHR^(o), —C(O)N(R^(o))₂, —C(O)R^(o), —NHC(O)R^(o),—NR^(o)C(O)R^(o), —NHC(O)NH₂, —NR^(o)C(O)NH₂, —NR^(o)C(O)NHR^(o),—NHC(O)NHR^(o), —NR^(o)C(O)N(R^(o))₂, —NHC(O)N(R^(o))₂, —CO₂H,—CO₂R^(o), —NHCO₂R^(o), —NR^(o)CO₂R^(o), —CN, —NO₂, —NH₂, —NHR^(o),—N(R^(o))₂, —NR^(o)S(O)NH₂ and —NR^(o)S(O)₂NHR^(o), wherein each R^(o)is independently an unsubstituted C₁₋₆ alkyl.
 19. The compound of claim1, wherein R^(2a) is a substituent selected from the group consisting ofhydrogen, halogen, cyano, heteroaryl, —NO₂, —CO₂R^(c), —CONR^(c)R^(d),—C(O)R^(c), —S(O)R^(e), —S(O)₂R^(e), —R^(e), —C(NOR^(c))R^(d),—C(NR^(c)W)═NW, —N(W)C(R^(c))═NW, —X²C(NOR^(c))R^(d), —X²C(NR^(c)W)═NW,—X²N(W)C(R^(c))═NW, —X²NR^(c)R^(d), —X²SR^(c), —X²CN, —X²NO₂,—X²CO₂R^(c), —X²CONR^(c)R^(d), —X²C(O)R^(c), —X²OC(O)NR^(c)R^(d),—X²NR^(d)C(O)R^(c), —X²NR^(d)C(O)₂R^(e), —X²NR^(c)C(O)NR^(c)R^(d),—X²NH—C(NH₂)═NH, —X²NR^(e)C(NH₂)═NH, —X²NH—C(NH₂)═NR^(e),—X²NH—C(NHR^(e))═NH, —X²S(O)R^(e), —X²S(O)₂R^(e), —X²NR^(c)S(O)₂R^(e),—X²S(O)₂NR^(c)R^(d) and —X² N₃; R^(2b) and R^(2e) are each hydrogen;R^(2c) and R^(2d) are each independently selected from the groupconsisting of hydrogen, halogen, —OR^(c), —SR^(c), —R^(e), —CN, —NO₂,—CO₂R^(c), —C(O)R^(c), —NR^(d)C(O)R^(c), —NR^(d)C(O)₂R^(e), —S(O)₂R^(e),—S(O)₂NR^(c)R^(d), —X²OR^(c), —O—X²OR^(c), —X²NR^(c)R^(d),—O—X²NR^(c)R^(d) and —NR^(d)-X²CO₂R^(c).
 20. The compound of claim 19,wherein R^(2a), R^(2b), R^(2d) and R^(2e) are each hydrogen; and R^(2c)is selected from the group consisting of halogen, —OR^(c), —SR^(c),—R^(e), —CN, —NO₂, —CO₂R^(c), —C(O)R^(c), —NR^(d)C(O)R^(c),—NR^(d)C(O)₂R^(e), —S(O)₂R^(e), —S(O)₂NR^(c)R^(d), —X²OR^(c),—O—X²OR^(c), —X²NR^(c)R^(d), —O—X²NR^(c)R^(d) and —NR^(d)—X²CO₂R^(c).21. The compound of claim 20, wherein R^(2c) is fluoro, chloro, bromo oriodo.
 22. The compound of claim 19, wherein R^(2a), R^(2b), R^(2e) areeach hydrogen.
 23. The compound of claim 19, wherein R^(2a), R^(2a),R^(2d) and R^(2e) are each hydrogen and R^(2c) is selected from thegroup consisting of halogen, —OR^(c), —SR^(c), —R^(e), —CN, —NO₂. 24.The compound of claim 19, wherein R^(2c) is Cl or F.
 25. The compound ofclaim 1, wherein m is 0; X is —CH₂—; A is hydrogen or hydroxy; L¹ isselected from the group consisting of —CH₂—, —CH₂CH₂— and —CH═CH—; and Bis a pyrazolyl or pyridopyrazolyl ring attached to the remainder of themolecule via a nitrogen atom ring member.
 26. The compound of claim 25,wherein R^(2a), R^(2b) and R^(2e) are each hydrogen and R^(2c) andR^(2d) are each selected from the group consisting of hydrogen, halogen,—OR^(c), —SR^(c), —R^(e), —CN, —NO2.
 27. The compound of claim 26,wherein R^(2c) is Cl or F.
 28. The compound of claim 1, wherein thegroup -L¹-B has a formula selected from the group as set forth in FIG.7, wherein the ring vertices a, b, c and d are each independently CH,C(R³), N or NO.
 29. The compound of claim 1, wherein the substituent Ahas subformulae selected from the group as set forth in FIG. 5, whereinthe subscript r is an integer from 0-4.
 30. The compound of claim 1,wherein said compound is selected from the group set forth in Table 1.31. The compound of claim 1, wherein said compound is selected from thegroup set forth in FIG.
 6. 32. A pharmaceutical composition comprising apharmaceutically acceptable excipient or carrier and a compound of claim1-29.
 33. A pharmaceutical composition of claim 32, wherein saidcomposition is form as a stent or stent-graft device.
 34. A method oftreating CCR1-mediated diseases or conditions comprising administeringto a subject in need thereof a therapeutically effective amount of acompound of any of claims 1-33.
 35. A method in accordance with claim34, wherein said CCR1-mediated disease or condition is an inflammatorycondition.
 36. A method in accordance with claim 34, wherein saidCCR1-mediated disease or condition is an immunoregulatory disorder. 37.A method in accordance with claim 34, wherein said CCR1-mediated diseaseor condition is selected from the group consisting of rheumatoidarthritis, multiple sclerosis, transplant rejection, restenosis,dermatitis, eczema, urticaria, vasculitis, inflammatory bowel disease,food allergy, asthma, Alzheimer's disease, Parkinson's disease,psoriasis, lupus erythematosus, osteoarthritis, stroke, restenosis andencephalomyelitis.
 38. A method in accordance with claim 34, whereinsaid administering is oral, parenteral, rectal, transdermal, sublingual,nasal or topical.
 39. A method in accordance with claim 34, wherein saidcompound is administered in combination with an anti-inflammatory agent,analgesic agent, an anti-proliferative agent, a metabolic inhibitor, aleukocyte migration inhibitor or an immuno-modulator.